Med First Immediate Care & Family Practice, Pa | |
609 Richlands Hwy Ste 6 Jacksonville NC 28540-3606 | |
(910) 455-7888 | |
(910) 455-1403 |
Full Name | Med First Immediate Care & Family Practice, Pa |
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Speciality | Family Medicine |
Location | 609 Richlands Hwy Ste 6, Jacksonville, North Carolina |
Authorized Official Name and Position | Paul Feneck (CEO) |
Authorized Official Contact | 9193414016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Med First Immediate Care & Family Practice, Pa 1616 E Millbrook Rd Ste 110 Raleigh NC 27609-4971 Ph: (919) 341-4016 | Med First Immediate Care & Family Practice, Pa 609 Richlands Hwy Ste 6 Jacksonville NC 28540-3606 Ph: (910) 455-7888 |
NPI Number | 1053503763 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 12/08/2023 |
Medicare PECOS PAC ID | 0446332720 |
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Medicare Enrollment ID | O20080124000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053503763 | NPI | - | NPPES |
8911515 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9801392 (North Carolina) | Primary |
Provider Name | Bertha Taylor-miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285690222 PECOS PAC ID: 4284628751 Enrollment ID: I20040408001384 |
Provider Name | Maria G Dichoso Wood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932163227 PECOS PAC ID: 8527056100 Enrollment ID: I20040503001340 |
Provider Name | Terri B Cates |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326017278 PECOS PAC ID: 1355368382 Enrollment ID: I20051028000997 |
Provider Name | Menelaos A Voulgaropoulos |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245231430 PECOS PAC ID: 9335123231 Enrollment ID: I20061107000058 |
Provider Name | Wendell L Richardson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700953940 PECOS PAC ID: 0648374868 Enrollment ID: I20070328000395 |
Provider Name | Kenneth Douglas Shank |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083695159 PECOS PAC ID: 1658452107 Enrollment ID: I20080122000813 |
Provider Name | Barbara J Deaton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336130418 PECOS PAC ID: 4284789850 Enrollment ID: I20090902000749 |
Provider Name | April D Durning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396981221 PECOS PAC ID: 7517023450 Enrollment ID: I20091012000159 |
Provider Name | Nilay C Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871768218 PECOS PAC ID: 6709038557 Enrollment ID: I20141203002349 |
Provider Name | June Anne Fawcett-hardy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114334794 PECOS PAC ID: 2567789902 Enrollment ID: I20150325000049 |
Provider Name | Jennifer Marie Lipsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760854541 PECOS PAC ID: 9931400066 Enrollment ID: I20151215001801 |
Provider Name | Linda Kathryn Botts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477923316 PECOS PAC ID: 5294027512 Enrollment ID: I20160707000640 |
Provider Name | Patrick J Daigle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083683189 PECOS PAC ID: 0547541526 Enrollment ID: I20170105001805 |
Provider Name | Kristin H Austin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841742608 PECOS PAC ID: 5395026264 Enrollment ID: I20170109000886 |
Provider Name | Maisha Pesante |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326242397 PECOS PAC ID: 8820271307 Enrollment ID: I20170119002621 |
Provider Name | Edward W Haga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245295195 PECOS PAC ID: 7719015437 Enrollment ID: I20170209002063 |
Provider Name | Sheila Anne Mcauliffe Marano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508121336 PECOS PAC ID: 1658528534 Enrollment ID: I20171204001125 |
Provider Name | Lilly Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487780383 PECOS PAC ID: 9638437148 Enrollment ID: I20171211000371 |
Provider Name | Elizabeth Laney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215410139 PECOS PAC ID: 1759635477 Enrollment ID: I20181116000196 |
Provider Name | Natasha Ray Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306327515 PECOS PAC ID: 6002153962 Enrollment ID: I20190130002020 |
Provider Name | Amy Laurel Cable |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952879744 PECOS PAC ID: 2860730520 Enrollment ID: I20190205002703 |
Provider Name | Gerard Antoine Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831165141 PECOS PAC ID: 8921234790 Enrollment ID: I20190207001119 |
Provider Name | Jimmena Kamil Huffman Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518438969 PECOS PAC ID: 8820338098 Enrollment ID: I20190326001070 |
Provider Name | Jennifer A Stakias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437589710 PECOS PAC ID: 6608007760 Enrollment ID: I20190819001547 |
Provider Name | Amanda Allison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194350827 PECOS PAC ID: 5294165874 Enrollment ID: I20200422001808 |
Provider Name | Corrie Hansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689284820 PECOS PAC ID: 3072939529 Enrollment ID: I20200814001651 |
Provider Name | Misty D Houston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033725585 PECOS PAC ID: 4880014406 Enrollment ID: I20201021001053 |
Provider Name | Daniel Nathan Kashdan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790927689 PECOS PAC ID: 0345573770 Enrollment ID: I20210709000447 |
Provider Name | Kacy Colleen Mcdonough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811579501 PECOS PAC ID: 7012315310 Enrollment ID: I20211015002499 |
Provider Name | Kirstiema A Cowan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003230848 PECOS PAC ID: 0143628644 Enrollment ID: I20220427000581 |
Provider Name | Elizabeth Barlow Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033580253 PECOS PAC ID: 4183913171 Enrollment ID: I20220902001128 |
Provider Name | Nicola Jane Lamb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881313120 PECOS PAC ID: 3173908191 Enrollment ID: I20220912002540 |
Provider Name | Stephanie C Adamchak |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083004840 PECOS PAC ID: 8123314564 Enrollment ID: I20221117002769 |
Provider Name | Valeri Kyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336846104 PECOS PAC ID: 1951769017 Enrollment ID: I20230621003012 |
Provider Name | Sarita Guglani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609435213 PECOS PAC ID: 9234592247 Enrollment ID: I20230823004020 |
Provider Name | Angela Gail Biggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790449023 PECOS PAC ID: 5193111805 Enrollment ID: I20230919002579 |
Provider Name | Katherine Elizabeth Blake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912246331 PECOS PAC ID: 8921238965 Enrollment ID: I20240522000445 |
Provider Name | Brandi Hartman Willard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619083797 PECOS PAC ID: 2264523828 Enrollment ID: I20240604000481 |
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