MCPC-19, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MCPC-19, LLC

Practice address

522 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone

(919) 897-2265

NPI assigned

Jul 9, 2026

Organization subpart

No

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

Authorized official

Name

Mickey Wheless Foster

Title

Ceo

Phone

(910) 715-4473

Specialties & licenses 2

Addresses

Other names 1

• FirstHealth Imaging - Fayetteville Doing business as

Tax ID family

Firsthealth Imaging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• MCPC-19, LLC

  • Physiological Laboratory
  • Pinehurst, NC
  • NPI 1720880404
  NPD tax ID
• MCPC-19, LLC

  • Physiological Laboratory
  • Sanford, NC
  • NPI 1942781455
  NPD tax ID

Locations

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1093633737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "919-897-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "919-897-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPC-19, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "WHELESS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Imaging - Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marquita Trevielle McNeill
• Tahirah McNeill
• Teresa McNeill
• Tanja O McNelis, LCSW
• Courtney McNerney
• MCPC-22, LLC
• MCPC-28, LLC
• MCPC-5, LLC
• MCPC-6, LLC
• MCPC-8, LLC

• Diagnostic Radiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.