| 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 | Maria G Dichoso Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932163227 PECOS PAC ID: 8527056100 Enrollment ID: I20040503001340 |
| 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 | Kenneth Douglas Shank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083695159 PECOS PAC ID: 1658452107 Enrollment ID: I20080122000813 |
| Provider Name | Sherri Y James Surgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861474926 PECOS PAC ID: 5991788952 Enrollment ID: I20090826000760 |
| Provider Name | Barbara J Deaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336130418 PECOS PAC ID: 4284789850 Enrollment ID: I20090902000749 |
| Provider Name | April D Durning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396981221 PECOS PAC ID: 7517023450 Enrollment ID: I20091012000159 |
| Provider Name | Joseph A Marcantel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841262219 PECOS PAC ID: 2062695901 Enrollment ID: I20110330000445 |
| Provider Name | Alan D Ancillotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972845204 PECOS PAC ID: 3476505371 Enrollment ID: I20130828001033 |
| Provider Name | Kimberly W Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522192 PECOS PAC ID: 2264663277 Enrollment ID: I20140314001058 |
| Provider Name | Nilay C 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 | Linda Kathryn Botts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477923316 PECOS PAC ID: 5294027512 Enrollment ID: I20160707000640 |
| Provider Name | Kathy L Kerchner Chieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356799852 PECOS PAC ID: 4880980580 Enrollment ID: I20160907000121 |
| 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 | Maisha Pesante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326242397 PECOS PAC ID: 8820271307 Enrollment ID: I20170119002621 |
| 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 | Jacqueline E Higuera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376810333 PECOS PAC ID: 8022276336 Enrollment ID: I20190116001257 |
| Provider Name | Natasha Ray Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306327515 PECOS PAC ID: 6002153962 Enrollment ID: I20190130002020 |
| Provider Name | Gerard Antoine Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831165141 PECOS PAC ID: 8921234790 Enrollment ID: I20190207001119 |
| Provider Name | Crystal Ammons Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457590507 PECOS PAC ID: 5698013639 Enrollment ID: I20190215002724 |
| 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 | Tammy Graves Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129151 PECOS PAC ID: 9234467523 Enrollment ID: I20190823003276 |
| Provider Name | Ursula Tomika White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912224726 PECOS PAC ID: 5395174759 Enrollment ID: I20200406002182 |
| Provider Name | Amanda Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194350827 PECOS PAC ID: 5294165874 Enrollment ID: I20200422001808 |
| Provider Name | Emily E Wolanzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316316029 PECOS PAC ID: 8123458528 Enrollment ID: I20200427002273 |
| 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 | Kristen L Blandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972027373 PECOS PAC ID: 2668746991 Enrollment ID: I20201029002361 |
| Provider Name | Emily Commack Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618121 PECOS PAC ID: 2466718929 Enrollment ID: I20201106000497 |
| Provider Name | Daniel Nathan Kashdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790927689 PECOS PAC ID: 0345573770 Enrollment ID: I20210709000447 |
| Provider Name | Kelley Ann Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777407 PECOS PAC ID: 5395069603 Enrollment ID: I20210910001695 |
| Provider Name | Kacy Colleen Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811579501 PECOS PAC ID: 7012315310 Enrollment ID: I20211015002499 |
| Provider Name | Jeanne Marie Damore Vacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760937452 PECOS PAC ID: 0749548550 Enrollment ID: I20220203001827 |
| 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 | Jessica A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114497807 PECOS PAC ID: 0749603074 Enrollment ID: I20230111000958 |
| 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 |
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 | |
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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 | |
Internal Medicine And Primary Care 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 | |
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