NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc

Doing business as Mid Carolinas Surgical Associates

  • Surgery Physician
  • Rockingham, NC
National Provider Identifier
1770734717
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Doing business as
Mid Carolinas Surgical Associates
Practice address
921 S Long Dr
Suite 208
Rockingham, NC 28379-4874
Phone
(910) 417-3540
Fax
(910) 417-3542
NPI assigned
Oct 8, 2008
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stuart G Voelpel
Title
Coo
Phone
(910) 715-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NC Primary

Addresses

Primary practice location

921 S Long Dr
Suite 208
Rockingham, NC 28379-4874

Mailing address

921 S Long Dr
Suite 208
Rockingham, NC 28379-4874
Phone (910) 417-3540

Other identifiers 6

IdentifierTypeStateIssuer
3008988OtherNCUHC
5950758MedicaidNC
NPB321MedicaidSC
TIN # SUFFIX 042OtherNCCHAMPUS
TIN#-SUFFIX FOtherNCFIRST CAROLINA CARE
021EXOtherNCBCBS

Other names 1

  • MID CAROLINAS SURGICAL ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031108000016 NC Part B Supplier - Clinic/Group Practice 8820909377 Receives reassigned benefits from 183 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pinehurst, NC; Troy, NC; Sanford, NC; Rockingham, NC; Fayetteville, NC; Pembroke, NC; Raeford, NC

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Memorial Hos27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1770734717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "SUITE 208",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3540",
            "fax_number": "910-417-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "SUITE 208",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3540",
            "fax_number": "910-417-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "VOELPEL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-715-1434"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3008988",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950758",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB321",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "TIN # SUFFIX 042",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "TIN#-SUFFIX F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "021EX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID CAROLINAS SURGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.