NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc

Doing business as Moore Regional Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
National Provider Identifier
1851477970
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Doing business as
Moore Regional Hospital Professional Services
Practice address
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone
(910) 715-1010
Fax
(910) 235-7913
NPI assigned
Oct 31, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

155 Memorial Dr
Pinehurst, NC 28374-8710

Mailing address

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1010

Other practice location 1

925 S Long Dr
Rockingham, NC 28379-4835
Phone (910) 417-3000

Other practice location 2

6408 Fayetteville Rd
Raeford, NC 28376-7977
Phone (910) 878-6000

Other identifiers 1

IdentifierTypeStateIssuer
8000213MedicaidNC

Other names 1

  • MOORE REGIONAL HOSPITAL PROFESSIONAL SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000442 NC Part B Supplier - Clinic/Group Practice 8820909377 Receives reassigned benefits from 153 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pinehurst, NC; Raeford, NC; Rockingham, NC; Troy, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Firsthealth of the Carolinas Inc Dba Firsthealth Weight Management Clinic27 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

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1851477970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-1010",
            "fax_number": "910-235-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-1010",
            "fax_number": "910-235-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 S Long Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283794835",
            "country_code": "US",
            "telephone_number": "910-417-3000",
            "fax_number": "910-235-7913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6408 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283767977",
            "country_code": "US",
            "telephone_number": "910-878-6000",
            "fax_number": "910-878-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "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": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000213",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORE REGIONAL HOSPITAL PROFESSIONAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOORE REGIONAL HOSPITAL PROFESSIONAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.