MCPC-24, LLC
Organization Active NPI Internal Medicine Physician · Pinehurst, NC
NPI 1922734375 · NPPES record last updated Dec 31, 2024
Key facts
- NPI
- 1922734375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MCPC-24, LLC
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374-8710 - Phone
- (910) 715-2145
- Fax
- (910) 235-7913
- NPI assigned
- Jul 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Mickey Foster
- Title
- Ceo
- Phone
- (910) 715-4473
Member of 1
Practitioners 29
-
Julie Taylor Coggins, FNP
-
Misty Hochrein Bitting, PA-C
-
Laura Jean Kaufman, PA-C
-
Erin Elizabeth Morgan, PA-C
-
Marlena C White, PA-C
-
Alyssa Marie Ortega, PA-C
-
Daniel Ray Barnes, D.O.
-
Timothy Beittel, MD
-
Jennifer Picerno Bowyer, FNP-C
-
Charles Basil Howarth, M.D.
-
Sun Moon Kim, M.D.
-
Tracy Overton Pritchard, AGPCNP-BC
-
Pallavi Sindhu, M.D.
-
Suzanne Lee Wilson, M.D.
-
Alysa Young, FNP-C
-
Erik T Huffman, PA-C
-
Stephen S Kapa, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221208001044 | NC | Part B Supplier - Clinic/Group Practice | 4486023785 |
Receives reassigned benefits from 29 practitioners Practice locations: Pinehurst, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-2145
Other names
- FirstHealth Telemedicine
Other providers in Pinehurst, NC
- MCPC-19, LLC
- MCPC-20, LLC
- MCPC-22, LLC
- MCPC-22, LLC
- MCPC-23, LLC Dba Firsthealth Travel Medicine
- MCPC-25 LLC
- MCPC-26, LLC
- MCPC-29, LLC
- MCPC-3, LLC
- MCPC-30, LLC
All providers in Pinehurst, NC · Internal 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 Dec 31, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.