NPIMap

Individual provider Active NPI

Christopher Britt Dominguez, PA-C

  • Medical Physician Assistant
  • Fort Bragg, NC
National Provider Identifier
1851384770
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010-05392 Issued in NC
Practice address
Building 139
Sotf
Fort Bragg, NC 28307-5000
Phone
(910) 643-0729
NPI assigned
Aug 25, 2005
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1062273 TX
Medical Physician Assistant 363AM0700X 010-05392 NC Primary

Addresses

Primary practice location

Building 139
Sotf
Fort Bragg, NC 28307-5000

Mailing address

46 Memorial Dr
Pinehurst, NC 28374-8707
Phone (910) 715-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916002275 NC Practitioner - Physician Assistant 1052640158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

103 Marketplace Dr
Suite 101
Sanford, NC 27332-7905
Phone (919) 897-2250

1690 US Hwy 1 S
Suite 100
Southern Pines, NC 28387-7037
Phone (910) 684-5066

225 Capital Dr
Suite 101
Carthage, NC 28327-6261
Phone (910) 215-5100

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
73
Promoting interoperability
94
Improvement activities
40
Cost
82.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010-05392NCMDMedical Physician Assistant
1062273TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
MCPC-8, LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC Family Medicine PastSince Dec 15, 2024 Accepting new patients
MCPC-18, LLC Past Accepting new patients
MCPC-8, LLC Family Medicine Past Accepting new patients
MCPC-8, LLC Family Medicine Past Accepting new patients
Pinehurst Radiology Group P a Past Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: cdominguez96863@firsthealth.direct-ci.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1851384770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-715-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 139",
            "address_2": "SOTF",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283075000",
            "telephone_number": "910-643-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRITT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "1062273",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "010-05392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.