Christine Anne McBride, PA-C

Individual provider Active NPI Medical Physician Assistant · Ellerbe, NC

NPI 1558613331 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1558613331
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
Practice address
112 E Ballard St
Ellerbe, NC 28338-9730
Phone
(910) 652-2663
Fax
(910) 652-3150
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-14 LLC (6 clinicians)

Practice addresses (Care Compare)

305 Page Rd N
Suite 1
Pinehurst, NC 28374-0086
Phone (910) 715-8671

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital · Pinehurst, NC · CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100 (group)
Quality
73
Promoting interoperability
94
Improvement activities
40
Cost
82.08

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121207000464 NC Practitioner - Physician Assistant 5991957490 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-14, LLC Current
since May 8, 2015
Accepting new patients
FHPG, LLC Current
since Oct 1, 2014
Accepting new patients
MCPC-8, LLC Current
since Jun 2, 2014
Accepting new patients
FHPG, LLC Current
since Oct 1, 2014
Accepting new patients
Firsthealth of the Carolinas, Inc. Current
since Oct 1, 2013
Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic Current
since Oct 1, 2013
Accepting new patients
MCPC-8, LLC Current
since Jun 2, 2014
Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

112 E Ballard St
Ellerbe, NC 28338
Phone (910) 652-2663

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

3110 S Horner Blvd
Sanford, NC 27332
Phone (910) 295-4400

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

522 Allen St
Ste 101
Troy, NC 27371
Phone (910) 571-5510

3349 US 1 Hwy
Vass, NC 28394
Phone (910) 245-7678

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: cmcbride13678@firsthealth.direct-ci.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Yes

Addresses

Primary practice location

112 E Ballard St
Ellerbe, NC 28338-9730

Mailing address

PO Box 896208
Charlotte, NC 28289-6208
Phone (910) 652-2663

Other identifiers

IdentifierTypeStateIssuer
8102813MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558613331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896208",
            "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": {
        "last_name": "MCBRIDE",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102813",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellerbe, NC

All providers in Ellerbe, NC · Medical Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.