Active NPI
FHPG, LLC
Doing business as FirstHealth Family Medicine-Ellerbe
- Family Medicine Physician
- Ellerbe, NC
National Provider Identifier
1336154129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9901427
- Legal business name
- FHPG, LLC
- Doing business as
- FirstHealth Family Medicine-Ellerbe
- Practice address
- 112 E Ballard St
Ellerbe, NC 28338-9730 - Phone
- (910) 652-2663
- Fax
- (910) 652-3150
- NPI assigned
- Jul 30, 2006
- Last updated
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
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) 715-4773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9901427 | NC | Primary |
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 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902804 | Medicaid | NC | |
| CA6647 | Other | NC | RR MEDICARE GROUP # |
| 0225E | Other | NC | BCBS # |
| 1336154129 | Medicaid | NC | |
| 02AY1 | Other | NC | BCBS |
Other names 1
- FirstHealth Family Medicine-Ellerbe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| 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… |
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba FirstHealth Family Medicine - Elitecare
- Family Medicine Physician
- Hope Mills, NC
- NPI 1033935853
O20141202002644
-
dba FirstHealth Family Medicine-Raeford
- Family Medicine Physician
- Raeford, NC
- NPI 1245335066
O20141202002644
-
dba FirstHealth Family Medicine - Pinnacle
- Family Medicine Physician
- Fayetteville, NC
- NPI 1295583797
O20141202002644
-
dba FirstHealth Montgomery Memorial Hospital Professional Services
- Specialist
- Troy, NC
- NPI 1346279445
O20141202002644
-
dba FirstHealth Family Medicine-Carthage Family Medicine
- Family Medicine Physician
- Carthage, NC
- NPI 1366180374
O20141202002644
-
dba FirstHealth Family Medicine - Chatham
- Family Medicine Physician
- Pittsboro, NC
- NPI 1447911490
O20141202002644
-
dba FirstHealth Family Medicine-Robbins
- Family Medicine Physician
- Robbins, NC
- NPI 1508237967
O20141202002644
-
dba FirstHealth Family Medicine-Seven Lakes
- Family Medicine Physician
- West End, NC
- NPI 1548290265
O20141202002644
-
dba FirstHealth Concierge Signature Medicine
- Internal Medicine Physician
- Southern Pines, NC
- NPI 1609475474
O20141202002644
-
dba FirstHealth Primary Care
- Family Medicine Physician
- Sanford, NC
- NPI 1619463429
O20141202002644
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 304
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.
-
- Family Medicine Physician
- Fort Bragg, NC
- NPI 1649582685
-
- Nurse Practitioner
- Pinehurst, NC
- NPI 1508850892
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1255397105
-
- Hospitalist Physician
- Pinehurst, NC
- NPI 1548381924
-
- Pediatrics Physician
- Nags Head, NC
- NPI 1114945987
-
- Family Nurse Practitioner
- Biscoe, NC
- NPI 1518018688
-
- Family Nurse Practitioner
- Rockingham, NC
- NPI 1346918422
-
- Internal Medicine Physician
- Durham, NC
- NPI 1841523131
-
- Family Medicine Physician
- Smithfield, NC
- NPI 1700877677
-
- Internal Medicine Physician
- Fairmont, NC
- NPI 1093899494
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pinehurst, NC
- NPI 1003853821
-
- Family Medicine Physician
- Pinehurst, NC
- NPI 1245791946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1336154129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E BALLARD ST",
"city": "ELLERBE",
"state": "NC",
"postal_code": "283389730",
"telephone_number": "910-652-2663",
"fax_number": "910-652-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E BALLARD ST",
"city": "ELLERBE",
"state": "NC",
"postal_code": "283389730",
"telephone_number": "910-652-2663",
"fax_number": "910-652-3150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FHPG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "MICKEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-715-4773"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9901427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902804",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP #",
"identifier": "CA6647",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "0225E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336154129",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02AY1",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FirstHealth Family Medicine-Ellerbe",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FirstHealth Family Medicine-Ellerbe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ellerbe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.