MCPC-8, LLC
Organization Active NPI Family Medicine Physician · Mt. Gilead, NC
NPI 1669019956 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1669019956
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCPC-8, LLC
- Practice address
- 8004 Highway 73 W
Mt. Gilead, NC 27306 - Phone
- (336) 523-0040
- NPI assigned
- Dec 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Mickey Foster
- Title
- Ceo
- Phone
- (910) 715-4473
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 5
Practitioners 12
-
Cory Dale Anderson, PA-C
-
Misty Hochrein Bitting, PA-C
-
Krista Montes, PA
-
Evelyn R. Pearce, PA-C
-
America Berenice Reece, FNP-C
-
Michael Stiranka, PA
-
Allison Marie Wegmann, P.A.-C
-
Mariel Boyer, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120823000423 | NC | Part B Supplier - Clinic/Group Practice | 3870740012 |
Receives reassigned benefits from 127 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Whispering Pines, NC; Southern Pines, NC; Sanford, NC; Mt Gilead, NC; Pinehurst, NC; Raeford, NC; Asheboro, NC; Carthage, NC… |
National Provider Directory
- Tax ID family
- Firsthealth Convenient Care - Asheboro
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
8004 Highway 73 W
Mt. Gilead, NC 27306
Mailing address
8004 Highway 73 W
Mt. Gilead, NC 27306
Other names
- FirstHealth Convenient Care - Lake Tillery
Other providers in Mt. Gilead, NC
- Agnes K Kirkpatrick
- Allison K Little
- Ursula Nichole Little
- Lolasafehaventt@Gmail.Com
- Johnny L. McKinnon Jr.
- Bobby McRae
- Moderate Living for the Aging Inc
- Monarch
- Monarch
- Mount Gilead LLC
All providers in Mt. Gilead, NC · Family Medicine Physician 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 Dec 4, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.