NPIMap

Organization Active NPI

MCPC-14, LLC

Doing business as Firsthealth Transition Care Clinic

  • Internal Medicine Physician
  • Pinehurst, NC
National Provider Identifier
1275965410
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCPC-14, LLC
Doing business as
Firsthealth Transition Care Clinic
Practice address
305 Page Rd N Ste 1
Pinehurst, NC 28374-0086
Phone
(910) 715-8671
Fax
(910) 715-6878
NPI assigned
Jul 30, 2013
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

305 Page Rd N Ste 1
Pinehurst, NC 28374-0086

Mailing address

305 Page Rd N Ste 1
Pinehurst, NC 28374-0086
Phone (910) 715-8671

Other names 1

  • FIRSTHEALTH TRANSITION CARE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131007000016 NC Part B Supplier - Clinic/Group Practice 2567696552 Receives reassigned benefits from 25 practitioners
4 other NPIs on this enrollment
Practice locations: Pinehurst, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • MCPC-14, LLC

    dba FirstHealth Integrative Oncology and Survivorship

    • Family Medicine Physician
    • Pinehurst, NC
    • NPI 1932921137

    O20131007000016

    Same enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2076787Firsthealth Transition Care Clinic305 Page Road, Pinehurst, NC 28374Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

305 Page Rd N
Pinehurst, NC 28374
Phone (910) 295-1010

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

921 S Long Dr
Ste 203
Rockingham, NC 28379
Phone (910) 276-2100

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1275965410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PAGE RD N STE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740086",
            "telephone_number": "910-715-8671",
            "fax_number": "910-715-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAGE RD N STE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740086",
            "telephone_number": "910-715-8671",
            "fax_number": "910-715-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPC-14, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTHEALTH TRANSITION CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FIRSTHEALTH TRANSITION CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.