Med First Immediate Care & Family Practice, PA

Organization Active NPI Family Medicine Physician · Thomasville, NC

NPI 1316455124 · NPPES record last updated Jan 21, 2020

Key facts

NPI
1316455124
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Practice address
1033 Randolph St Ste 32
Thomasville, NC 27360-5731
Phone
(336) 860-0843
Fax
(336) 914-8303
NPI assigned
Jan 15, 2018
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

Authorized official

Name
Paul Feneck
Title
Ceo
Phone
(919) 341-4016

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2142538Med First Immediate Care and
1033 Randolph Street, Suite 32, Thomasville, NC 27360
Certificate of waiverJan 11, 2028

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Locations

1023 Randolph St
Ste 32
Thomasville, NC 27360

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1033 Randolph St Ste 32
Thomasville, NC 27360-5731

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other providers in Thomasville, NC

All providers in Thomasville, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.