MCPC-30, LLC – Pulmonary Disease Physician

Key facts

NPI: 1306753983
Entity type: Organization (NPI type 2)
Primary specialty: Pulmonary Disease Physician 207RP1001X
Legal business name: MCPC-30, LLC
Practice address: 135 Page Rd N
Pinehurst, NC 28374-4607
Phone: (910) 715-5134
NPI assigned: Aug 27, 2026
Organization subpart: No

Authorized official

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pulmonary Disease Physician Group: 193400000X SINGLE SPECIALTY GROUP	207RP1001X			Yes

Addresses

Primary practice location

135 Page Rd N
Pinehurst, NC 28374-4607

Mailing address

135 Page Rd N
Pinehurst, NC 28374-4607
Phone (910) 715-5134

Other names

FirstHealth Lung Screening and Nodule Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2026.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1306753983",
    "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": "910-715-5134"
        },
        {
            "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": "910-715-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPC-30, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "SELECT ONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Lung Screening and Nodule Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

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 Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.