Med First Immediate Care & Family Practice PA

Organization Active NPI Family Medicine Physician · Sneads Ferry, NC

NPI 1609306166 · NPPES record last updated Jan 21, 2020

Key facts

NPI
1609306166
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Practice address
200 Cape Fear Cir Ste 1
Sneads Ferry, NC 28460-9192
Phone
(910) 327-2277
Fax
(910) 324-2280
NPI assigned
Jun 18, 2017
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Authorized official

Name
Mr. Paul Feneck
Title
Chief Executive Officer
Phone
(919) 341-4016

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2066941Med First Immediate Care &
200 Cape Fear Circle, Suite 1, Sneads Ferry, NC 28460
Certificate of waiverOct 6, 2027

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Locations

200 Cape Fear Cir
Ste 1
Sneads Ferry, NC 28460
Phone (910) 327-2277

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

200 Cape Fear Cir Ste 1
Sneads Ferry, NC 28460-9192

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.