| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 0446332720 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285690222 PECOS PAC ID: 4284628751 Enrollment ID: I20040408001384 |
| Provider Name | Rodolfo Constantino Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184653834 PECOS PAC ID: 7911819628 Enrollment ID: I20040818000056 |
| Provider Name | Rebecca Lynn Irby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336147818 PECOS PAC ID: 6800861972 Enrollment ID: I20040901000184 |
| Provider Name | Terri B Cates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326017278 PECOS PAC ID: 1355368382 Enrollment ID: I20051028000997 |
| Provider Name | Menelaos A Voulgaropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245231430 PECOS PAC ID: 9335123231 Enrollment ID: I20061107000058 |
| Provider Name | Wendell L Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700953940 PECOS PAC ID: 0648374868 Enrollment ID: I20070328000395 |
| Provider Name | Kenneth Douglas Shank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083695159 PECOS PAC ID: 1658452107 Enrollment ID: I20080122000813 |
| Provider Name | April D Durning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396981221 PECOS PAC ID: 7517023450 Enrollment ID: I20091012000159 |
| Provider Name | Nilay Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871768218 PECOS PAC ID: 6709038557 Enrollment ID: I20141203002349 |
| Provider Name | June Anne Fawcett-hardy |
|---|---|
| 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 | Amy Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631575 PECOS PAC ID: 9830490531 Enrollment ID: I20151223000000 |
| Provider Name | Patrick J Daigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083683189 PECOS PAC ID: 0547541526 Enrollment ID: I20170105001805 |
| Provider Name | Kristin H Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742608 PECOS PAC ID: 5395026264 Enrollment ID: I20170109000886 |
| Provider Name | Edward W Haga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245295195 PECOS PAC ID: 7719015437 Enrollment ID: I20170209002063 |
| Provider Name | Sheila Anne Mcauliffe Marano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508121336 PECOS PAC ID: 1658528534 Enrollment ID: I20171204001125 |
| Provider Name | Lilly Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487780383 PECOS PAC ID: 9638437148 Enrollment ID: I20171211000371 |
| Provider Name | Nilima H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669985461 PECOS PAC ID: 4880956481 Enrollment ID: I20180320000145 |
| Provider Name | Katherine Anne Alwes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445317 PECOS PAC ID: 9830451921 Enrollment ID: I20180330000574 |
| Provider Name | April Dawn Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962603910 PECOS PAC ID: 8729232772 Enrollment ID: I20180720002109 |
| 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 | Terri St. Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265098 PECOS PAC ID: 1850661943 Enrollment ID: I20200420003280 |
| Provider Name | Amanda Allison Harrington |
|---|---|
| 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 |
|---|---|
| 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 | Andrea Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063040129 PECOS PAC ID: 6507229218 Enrollment ID: I20230829001881 |
| Provider Name | Angela Gail Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790449023 PECOS PAC ID: 5193111805 Enrollment ID: I20230919002579 |
| Provider Name | Linda Marie Hedges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568800662 PECOS PAC ID: 6709027840 Enrollment ID: I20240513000361 |
| Provider Name | Katherine Elizabeth Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912246331 PECOS PAC ID: 8921238965 Enrollment ID: I20240522000445 |
| Provider Name | Ellyse Lopez Lamont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558545 PECOS PAC ID: 1850659293 Enrollment ID: I20240827004458 |
| Provider Name | Giang T Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114513124 PECOS PAC ID: 6204239684 Enrollment ID: I20241010002020 |
| Provider Name | Sarah Beth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235958174 PECOS PAC ID: 3274060934 Enrollment ID: I20241219003189 |
| Provider Name | Deborah Victoria Smith Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932984986 PECOS PAC ID: 6305374281 Enrollment ID: I20250106001289 |
| Provider Name | Shelby Louise Tinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033924873 PECOS PAC ID: 4486178902 Enrollment ID: I20250407001308 |
Generations Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Memorial Ct, Jacksonville, NC 28546 Phone: 910-353-5111 Fax: 910-353-2849 | |
East Carolina Gastroenterology Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-6158 Fax: 910-353-7257 | |
Star Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546 Phone: 910-333-0283 Fax: 910-333-0513 | |
W.r.turlington Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Drive, Suite M, Jacksonville, NC 28546 Phone: 910-353-8100 Fax: 910-353-5764 | |
Med First Immediate Care & Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1899 N Marine Blvd, Jacksonville, NC 28546 Phone: 910-937-7200 Fax: 910-937-7061 | |
Onslow Ambulatory Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Office Park Dr, Jacksonville, NC 28546 Phone: 910-346-5016 Fax: 910-577-4987 |