MCPC-20, LLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

MCPC-20, LLC

Doing business as

FirstHealth Gynecologic Oncology

Practice address

135 Page Rd N
Pinehurst, NC 28374-4607

Phone

(910) 715-3504

Fax

(910) 715-1247

NPI assigned

Sep 17, 2019

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• FirstHealth Gynecologic Oncology Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 1

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

• Firsthealth of the Carolinas, Inc

  dba Firsthealth Montgomery Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Troy, NC
  • NPI 1346313640

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Brian Toy Burgess, D.O, PHD

  • Gynecologic Oncology Physician
  • Pinehurst, NC
  • NPI 1881039121
  Medicare reassignment Care Compare group NPD
• Michael John Sundborg, M.D.

  • Gynecologic Oncology Physician
  • Pinehurst, NC
  • NPI 1508857962
  Medicare reassignment Care Compare group NPD
• Lindsey R Huckbody, PA-C

  • Physician Assistant
  • Pinehurst, NC
  • NPI 1831369214
  Medicare reassignment Care Compare group
• Adara Renae Starr Maness, PA-C

  • Physician Assistant
  • Pinehurst, NC
  • NPI 1700242013
  Medicare reassignment

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1295385748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PAGE RD N",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744607",
            "telephone_number": "910-715-3504",
            "fax_number": "910-715-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PAGE RD N",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744607",
            "telephone_number": "910-715-3504",
            "fax_number": "910-715-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPC-20, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "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": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Gynecologic Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstHealth Gynecologic Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MCPC-14, LLC (Firsthealth Transition Care Clinic)
• MCPC-14, LLC (FirstHealth Integrative Oncology and Survivorship)
• MCPC-17, LLC (FirstHealth Primary Care)
• MCPC-18, LLC (FirstHealth Cardiology & Specialty Clinic-PMC)
• MCPC-19, LLC (Firsthealth Women's Imaging)
• MCPC-22, LLC (FirstHealth - Sandhills Neurologists)
• MCPC-22, LLC (FirstHealth Neurology)
• MCPC-23, LLC Dba Firsthealth Travel Medicine (FirstHealth Travel Medicine)
• MCPC-24, LLC (FirstHealth Telemedicine)
• MCPC-25 LLC (FirstHealth Radiation Oncology)

• Oncology Clinic/Center in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Oncology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.