Organization Active NPI

FHPG, LLC

Doing business as FirstHealth Concierge Signature Medicine

  • Internal Medicine Physician
  • Southern Pines, NC
National Provider Identifier
1609475474
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FHPG, LLC
Doing business as
FirstHealth Concierge Signature Medicine
Practice address
1690 US Highway 1 S Ste 300
Southern Pines, NC 28387-7037
Phone
(910) 684-5499
Fax
(910) 684-5567
NPI assigned
Oct 22, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1690 US Highway 1 S Ste 300
Southern Pines, NC 28387-7037

Mailing address

1690 US Highway 1 S Ste 300
Southern Pines, NC 28387-7037
Phone (910) 684-5499

Other names 1

  • FirstHealth Concierge Signature Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

View all 27

National Provider Directory

National Provider Directory
Tax ID family
FHPG LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

401 Capital Dr Unit B
Carthage, NC 28327

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1609475474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 US HIGHWAY 1 S STE 300",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877037",
            "telephone_number": "910-684-5499",
            "fax_number": "910-684-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 US HIGHWAY 1 S STE 300",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877037",
            "telephone_number": "910-684-5499",
            "fax_number": "910-684-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHPG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Concierge Signature Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.

Verify at the official NPI Registry.