NPIMap

Organization Active NPI

MCPC-18, LLC

Doing business as FirstHealth Cardiology & Specialty Clinic-PMC

  • Pulmonary Disease Physician
  • Pinehurst, NC
National Provider Identifier
1295262103
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MCPC-18, LLC
Doing business as
FirstHealth Cardiology & Specialty Clinic-PMC
Practice address
205 Page Rd
Pinehurst, NC 28374-8749
Phone
(910) 295-9511
Fax
(910) 235-3428
NPI assigned
May 23, 2017
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

205 Page Rd
Pinehurst, NC 28374-8749

Mailing address

PO Box 896213
Charlotte, NC 28289-6213

Other practice location 1

110 Fields Dr Ste 1
Sanford, NC 27330-5066
Phone (919) 777-9005

Other practice location 2

1818 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 777-9005

Other practice location 3

520 Allen St
Troy, NC 27371-2802
Phone (919) 292-1201

Other practice location 4

1413 Greenway Ct
Sanford, NC 27330-6954
Phone (919) 292-1201

Other names 1

  • FirstHealth Cardiology & Specialty Clinic-PMC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170713000014 NC Part B Supplier - Clinic/Group Practice 2668741208 Receives reassigned benefits from 35 practitioners
Practice locations: Southern Pines, NC; Sanford, NC; Pinehurst, NC; Raeford, NC; Asheboro, NC; Carthage, NC; Hamlet, NC; Fayetteville, NC

National Provider Directory

National Provider Directory

Member of 1

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

Locations

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1295262103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748749",
            "telephone_number": "910-295-9511",
            "fax_number": "910-235-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Fields Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273305066",
            "country_code": "US",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273305057",
            "country_code": "US",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Allen St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273712802",
            "country_code": "US",
            "telephone_number": "919-292-1201",
            "fax_number": "910-235-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Greenway Ct",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306954",
            "country_code": "US",
            "telephone_number": "919-292-1201",
            "fax_number": "910-235-3421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCPC-18, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Cardiology & Specialty Clinic-PMC",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.