First Choice Community Health Centers
Organization Active NPI Family Medicine Physician · Spring Lake, NC
NPI 1902829153 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1902829153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FIRST CHOICE COMMUNITY HEALTH CENTERS
- Practice address
- 6750 Overhills Rd
Spring Lake, NC 28390-8872 - Phone
- (910) 436-2900
- Fax
- (910) 436-0588
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Sheila L Simmons
- Title
- Ceo
- Phone
- (910) 364-0971
Other NPIs on the same Medicare enrollment 4
Practitioners 17
-
Kutreni Lachelle Carter, FNP-C
-
Tyler Ryan Cassidy, PA-C
-
Teneisha Cecelia Davis, M.D.
-
Amrit K Gill, MD
-
Jinzhao Ji, PA-C
-
Marvin Lewis, MD
-
Constant Shubert Masere, M.D.
-
Enobong Newlin, M.D.
-
Jaimita V Patel, M.D.
-
Rahwa T Sebhatu, PA-C
-
Jiho Choi, M.D.
-
Kristal Lynne Jaster, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0709476 | Anderson Creek Medical Center | Certificate of waiver | Apr 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040908001617 | NC | Part B Supplier - Clinic/Group Practice | 0941276133 |
Receives reassigned benefits from 10 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lillington, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
6750 Overhills Rd
Spring Lake, NC 28390-8872
Mailing address
40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone (910) 364-0971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344510A | Medicaid | NC | |
| 2804091 | Other | MEDICARE PART B |
Other names
- Anderson Creek Medical Center
Other providers in Spring Lake, NC
- Sarah Andrea Fernandez
- Leslie Figueroa Juarez
- Emmanuel Finney
- Angela Lynn Fipps-White
- First Choice Community Health Centers
- First Priority Homes, Inc.
- Angela Fisher
- Flaherty Counseling Services, PLLC
- Lynsey Vanghel Flaherty
- Blair Katherine Fleming
All providers in Spring Lake, NC · Family 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 Sep 8, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.