NPIMap

Organization Active NPI

MCPC-12, LLC

Doing business as FirstHealth Southern Pines Women's Health Center

  • Gynecology Physician
  • Pinehurst, NC
National Provider Identifier
1306283080
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MCPC-12, LLC
Doing business as
FirstHealth Southern Pines Women's Health Center
Practice address
145 Applecross Rd
Pinehurst, NC 28374-8521
Phone
(910) 692-7928
Fax
(910) 692-5962
NPI assigned
Jun 4, 2013
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

145 Applecross Rd
Pinehurst, NC 28374-8521

Mailing address

145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928

Other practice location 1

2053 Valleygate Dr Ste 201
Fayetteville, NC 28304-3983
Phone (910) 484-9020

Other practice location 2

5 First Village Dr Ste 100
Pinehurst, NC 28374-9495
Phone (910) 692-7928

Other names 1

  • FirstHealth Southern Pines Women's Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130727000012 NC Part B Supplier - Clinic/Group Practice 7416198890 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
Practice locations: Raeford, NC; Sanford, NC; Rockingham, NC; Pinehurst, NC; Fayetteville, NC

Other NPIs on the same Medicare enrollment 1

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

  • MCPC-12, LLC

    dba FirstHealth Urogynecology

    • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    • Pinehurst, NC
    • NPI 1003650391

    O20130727000012

    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
34D2306184MCPC-12, LLC Dba Firsthealth Southern Pine5 First Village Drive, Pinehurst, NC 28374Provider-performed microscopyJun 11, 2028

National Provider Directory

National Provider Directory

Locations

110 Medical Cir
Rockingham, NC 28379
Phone (910) 410-9494

921 S Long Dr
Ste 205
Rockingham, NC 28379
Phone (910) 417-3477

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1306283080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748521",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748521",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2053 Valleygate Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043983",
            "country_code": "US",
            "telephone_number": "910-484-9020",
            "fax_number": "910-484-9012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 First Village Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283749495",
            "country_code": "US",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCPC-12, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Southern Pines Women's Health Center",
            "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 Nov 5, 2025; 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.