Individual provider Active NPI

Marshall Price, PA-C

  • Physician Assistant
  • Lillington, NC
National Provider Identifier
1063910149
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07798 Issued in NC
Practice address
1870 Keith Hills Rd
Lillington, NC 27546-8268
Phone
(910) 891-9490
NPI assigned
Jan 24, 2018
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07798 NC Primary

Addresses

Primary practice location

1870 Keith Hills Rd
Lillington, NC 27546-8268

Mailing address

1870 Keith Hills Rd
Lillington, NC 27546-8268

Other practice location 1

3007 Town Center Dr Ste 100-101
Fayetteville, NC 28306-3662
Phone (910) 354-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608000608 NC Practitioner - Physician Assistant 0143575431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

150 Francam Dr
Suite 120
Fayetteville, NC 28311-4500
Phone (910) 487-1100

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince May 2, 2022 Accepting new patients
MCPC-8, LLC CurrentSince May 2, 2022 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1063910149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 KEITH HILLS RD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 KEITH HILLS RD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468268",
            "telephone_number": "910-891-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Town Center Dr Ste 100-101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283063662",
            "country_code": "US",
            "telephone_number": "910-354-1281",
            "fax_number": "910-779-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARSHALL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.