Active NPI
MCPC-5, LLC
- Cardiovascular Disease Physician
- Pembroke, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MCPC-5, LLC
- Practice address
- 812 Candy Park Rd
Pembroke, NC 28372-9120 - Phone
- (910) 417-4105
- Fax
- (910) 417-4120
- NPI assigned
- Jul 10, 2014
- Last updated
- Dec 9, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
812 Candy Park Rd
Pembroke, NC 28372-9120
Mailing address
PO Box 896208
Charlotte, NC 28289-6208
Phone (910) 417-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120829000466 | NC | Part B Supplier - Clinic/Group Practice | 4284881012 |
Receives reassigned benefits from 55 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rockingham, NC; Raeford, NC; Hamlet, NC; Pinehurst, NC; Asheboro, NC; Laurinburg, NC; Carthage, NC |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba FirstHealth Cardiology Services-Reid Heart Center
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1164784948
O20120829000466
-
dba FirstHealth Cardiology Services-Hamlet
- Cardiovascular Disease Physician
- Hamlet, NC
- NPI 1376892539
O20120829000466
-
dba FirstHealth Cardiology Services-Asheboro
- Cardiovascular Disease Physician
- Asheboro, NC
- NPI 1437663994
O20120829000466
-
dba Firsthealth Cardiology Services--Hoke
- Cardiovascular Disease Physician
- Raeford, NC
- NPI 1457604902
O20120829000466
-
dba Firsthealth Cardiology Services-Laurinburg
- Cardiovascular Disease Physician
- Laurinburg, NC
- NPI 1629327895
O20120829000466
-
dba FirstHealth Heart Failure Clinic
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1679119499
O20120829000466
-
dba FirstHealth Cardiology Services-Pinehurst
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1689944514
O20120829000466
-
dba FirstHealth Cardiology Valve Clinic
- Cardiovascular Disease Physician
- Fayetteville, NC
- NPI 1780064915
O20120829000466
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba FirstHealth Home Care
- Home Health Agency
- West End, NC
- NPI 1770574766
Member Of
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Cardiovascular Disease Physician
- Raeford, NC
- NPI 1790984458
-
- Cardiovascular Disease Physician
- Rockingham, NC
- NPI 1174561187
-
- Cardiovascular Disease Physician
- Greensboro, NC
- NPI 1528018314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1790191765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896208",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896208",
"telephone_number": "910-417-4105",
"fax_number": "910-417-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 CANDY PARK RD",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283729120",
"telephone_number": "910-417-4105",
"fax_number": "910-417-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCPC-5, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-10",
"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": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, 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.