Active NPI
First Choice Community Health Centers
- Clinic Pharmacy
- Lillington, NC
National Provider Identifier
1578819959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 11320
- Legal business name
- FIRST CHOICE COMMUNITY HEALTH CENTERS
- Doing business as
- First Choice Community Health Centers
- Practice address
- 40 Autumn Fern TRL
Lillington, NC 27546-5155 - Phone
- (910) 364-0967
- Fax
- (910) 814-4061
- NPI assigned
- Aug 3, 2012
- Last updated
- Sep 8, 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
- Sheila Simmons
- Title
- Ceo
- Phone
- (910) 364-0971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | 11320 | NC | Primary |
Addresses
Primary practice location
40 Autumn Fern TRL
Lillington, NC 27546-5155
Mailing address
40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone (910) 364-0967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435602 | Medicaid | NC | |
| 2136125 | Other | PK |
Other names 1
- First Choice Community Health Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023001528 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941276133 | Practice locations: Lillington, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Practice Physician
- Lillington, NC
- NPI 1083971279
0941276133
National Provider Directory
National Provider Directory- Tax ID family
- The Western Medical Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Mamers, NC
- NPI 1679706691
-
dba Anderson Creek Dental Clinic
- Dentist
- Spring Lake, NC
- NPI 1811910706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1578819959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AUTUMN FERN TRL",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465155",
"telephone_number": "910-364-0967",
"fax_number": "910-814-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AUTUMN FERN TRL",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465155",
"telephone_number": "910-364-0967",
"fax_number": "910-814-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE COMMUNITY HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-03",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-364-0971"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NC",
"license": "11320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435602",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136125",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "First Choice Community Health Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "First Choice Community Health Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lillington, NC
- Dania Mahmoud Farawi, PA-C
- Amy Marie Farmer, COTA
- David Feist, D.O.
- FHPG, LLC
- First Choice Community Health Centers
- Loren Ray Flageolle, DO
- Jordan Shae Forbess, LCSW-A LCAS-A
- Kara Elizabeth Foster, OD
- Amanda Adele Freeman, PA
- Fresenius Medical Care of Lillington, LLC (FMS Dialysis Services of Lillington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.