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
Hospital & facility affiliations 4
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.02 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121207000464 | NC | Practitioner - Physician Assistant | 5991957490 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-14, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| MCPC-8, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current |
Accepting new patients | |
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current |
Accepting new patients | |
| MCPC-8, LLC | Current |
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
- cmcbride13678@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8102813 | Medicaid | NC |
NPI Registry JSON
{
"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
- FHPG, LLC
- Robin Hurt
- Venkata L N Juluru
- Bohdan William Kopynec
- Eric Legrand
- Mary Catherine McKay
- Monarch
- New Ellerbe Pharmacy Inc
- New Ellerbe Pharmacy Inc
- RBS Case Management LLC
All providers in Ellerbe, NC · Medical Physician Assistant 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 Jul 21, 2022. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.