FHPG, LLC
Organization Active NPI Family Medicine Physician · Ellerbe, NC
NPI 1336154129 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1336154129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9901427 (NC)
- Legal business name
- FHPG, LLC
- Practice address
- 112 E Ballard St
Ellerbe, NC 28338-9730 - Phone
- (910) 652-2663
- Fax
- (910) 652-3150
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mickey Foster
- Title
- Ceo
- Phone
- (910) 715-4773
Other NPIs on the same Medicare enrollment 27
Practitioners 304
-
Lisa Adams, CRNP
-
Cecilia Ainolhayat, M.D.
-
Thellie Rupert Ainsley Jr., M. D.
-
Jolena B Allred, FNP
-
Romain Athus, M.D.
-
Saqib Aziz, M.D.
-
Marcia H Ballard, FNP
-
Daniel Ray Barnes, D.O.
-
Julie G Baugher, M.D.
-
Tabitha M Bedini, M.D.
-
Timothy Beittel, MD
-
Adam Richard Belanger, M.D.
-
William Lee Bell, MD
-
Loni Belyea, M.D.
-
Eric Scot Bishop, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141202002644 | NC | Part B Supplier - Clinic/Group Practice | 9537481569 |
Receives reassigned benefits from 424 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Robbins, NC; Rockingham, NC; Sanford, NC; Southern Pines, NC; Troy, NC; Vass, NC; West End, NC; Whispering Pines, NC… |
National Provider Directory
Locations
112 E Ballard St
Ellerbe, NC 28338
Phone (910) 652-2663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 9901427 | NC | Yes |
Addresses
Primary practice location
112 E Ballard St
Ellerbe, NC 28338-9730
Mailing address
112 E Ballard St
Ellerbe, NC 28338-9730
Phone (910) 652-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0225E | Other | NC | BCBS # |
| 02AY1 | Other | NC | BCBS |
| CA6647 | Other | NC | RR MEDICARE GROUP # |
| 8902804 | Medicaid | NC | |
| 1336154129 | Medicaid | NC |
Other names
- FirstHealth Family Medicine-Ellerbe
Other providers in Ellerbe, NC
- Carolina Wellness Services PLLC
- Jordan Tyler Dewitt
- Lauren Leviner Dewitt
- Ellerbe Pharmacy
- Robin Hurt
- Venkata L N Juluru
- Bohdan William Kopynec
- Eric Legrand
- Christine Anne McBride
All providers in Ellerbe, NC · Family Medicine 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 Jan 6, 2025. 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.