First Care Medical Clinic, PA
Organization Active NPI Internal Medicine Physician · Monroe, NC
NPI 1689635237 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1689635237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- FIRST CARE MEDICAL CLINIC, PA
- Practice address
- 404 S Sutherland Ave
Monroe, NC 28112-5060 - Phone
- (704) 291-9267
- Fax
- (704) 283-7939
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Benedict O Okwara, M.D.
- Title
- Medical Director
- Phone
- (704) 291-9267
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 1
Practitioners 52
-
Willa Ale, FNP
-
Janiaya Anderson, DNP, APRN, FNP-BC
-
Ashley Nicole May, PA-C
-
Quinn Emerson Payne, PA-C
-
Natalie Alexandra Brauning, RN, FNP-C
-
Emma C Gerth, APRN
-
Alison Nicole Poole, P.A.-C
-
Hannah Leigh Kihm, PA-C
-
Benedict O Okwara, M.D.
-
Ratna Acharya, FNP
-
Shejal D Bhakta, FNP
-
Patricia Nicole Bryan, FNP-C
-
Mari Peach Looney, FNP-C
-
Rashida Aliya Mungin, NP-C
-
Donatus Ogu, M.D.
-
Adanma Mbadinuju Okwara, M.D.
-
Ashley Nicole Prince, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031208000408 | NC | Part B Supplier - Clinic/Group Practice | 5395641823 |
Receives reassigned benefits from 46 practitioners 7 other NPIs on this enrollment Practice locations: Monroe, NC; Gastonia, NC; Charlotte, NC; Albemarle, NC |
| O20100930062207 | NC | DME Supplier - Physician - Internal Medicine | 5395641823 | Practice locations: Charlotte, NC |
National Provider Directory
Locations
16704 Hawfield Way Dr
Charlotte, NC 28277
Phone (704) 337-0221
7004 Smith Corners Blvd
Charlotte, NC 28269
210 Main St E
Locust, NC 28097
812 W Innes St
Salisbury, NC 28144
Phone (704) 637-5544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Adolescent Medicine (Internal Medicine) Physician |
207RA0000X | |||
| Pediatrics Physician |
208000000X | |||
| Pediatric Adolescent Medicine Physician |
2080A0000X |
Addresses
Primary practice location
404 S Sutherland Ave
Monroe, NC 28112-5060
Mailing address
404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890259H | Medicaid | NC | |
| 89015HX | Medicaid | NC | |
| 89013J4 | Medicaid | NC | |
| 890259K | Medicaid | NC | |
| 89012HW | Medicaid | NC |
Other names
- FIRST CARE MEDICAL CLINIC
Other providers in Monroe, NC
- Matthew Joseph Findlay
- Latisha Finney
- First Care Homes LLC
- First Care Medical Clinic
- First Care Medical Clinic
- First Choice Supply, Inc
- Kelsey Fish
- Mark Todd Fishel
- Katrina Fisher
- Susanna Fisher
All providers in Monroe, NC · Internal 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 May 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.