MCPC-18, LLC
Organization Active NPI Pulmonary Disease Physician · Pinehurst, NC
NPI 1295262103 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1295262103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- MCPC-18, LLC
- Practice address
- 205 Page Rd
Pinehurst, NC 28374-8749 - Phone
- (910) 295-9511
- Fax
- (910) 235-3428
- NPI assigned
- May 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Mickey Foster
- Title
- Ceo
- Phone
- (910) 715-4473
Member of 1
Practitioners 35
-
Miranda Elise Alleman, APRN, NP
-
Edward Scott Anderson, D.O.
-
Adam Richard Belanger, M.D.
-
Tiffany Earle Bonnecaze, M.D.
-
Ker Boyce IV, MD
-
David M Cowherd, MD
-
Keith E Davis, MD
-
Stacey N Hoiland, ANP
-
Lukas Jantac, M.D.
-
Laura Rae Kauffman, FNP-BC
-
Steven M Kent, MD
-
Logan Lewis, FNP
-
Michael A Pritchett, D.O.
-
Heidi Templin, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100
150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | |||
| Pulmonary Disease Physician |
207RP1001X | Yes |
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
1413 Greenway Ct
Sanford, NC 27330-6954
Phone (919) 292-1201
Other practice location 3
520 Allen St
Troy, NC 27371-2802
Phone (919) 292-1201
Other practice location 4
1818 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 777-9005
Other names
- FirstHealth Cardiology & Specialty Clinic-PMC
NPI Registry JSON
{
"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": "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"
},
{
"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": "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"
}
],
"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
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- MCPC-14, LLC
- MCPC-17, LLC
- MCPC-19, LLC
- MCPC-20, LLC
- MCPC-22, LLC
- MCPC-22, LLC
- MCPC-23, LLC Dba Firsthealth Travel Medicine
All providers in Pinehurst, NC · Pulmonary Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.