MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA (NPI# 1821518564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821518564 |
| Entity Type | Organization |
| Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Practice Address |
5130 Southport Supply Rd Se Ste 101 Southport NC 28461-9262 |
| Mailing Address |
1616 E Millbrook Rd Ste 110 Raleigh NC 27609-4971 |
| Practice Telephone | 9102692053 |
| Practice Fax Number | 9103634905 |
| Mailing Telephone | 9193414016 |
| Mailing Fax Number | 9103461907 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. PAUL FENECK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9193414016 |
| Is Organization Subpart | Y |
| Parent Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760352 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2002 S Glenburnie Rd Ste 100, New Bern, NC 28562-5229 | 2017-06-21 |
| 1609306166 | Med First Immediate Care & Family Practice Pa | Family Medicine | 200 Cape Fear Cir Ste 1, Sneads Ferry, NC 28460-9192 | 2017-06-18 |
| 1740710391 | Med First Immediate Care & Family Practice Pa | Family Medicine | 275 Nc 24 50 Hwy, Kenansville, NC 28349-8933 | 2017-06-15 |
| 1457647885 | Med First Immediate Care & Family Practice Pa | Family Medicine | 7901 Emerald Drive, Ste 7, Emerald Isle, NC 28549-2880 | 2011-06-23 |
| 1487178588 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2115 S Main St Ste A, Wake Forest, NC 27587-5011 | 2017-07-31 |
| 1386165686 | Med First Immediate Care & Family Practice Pa | Family Medicine | 609 Richlands Hwy Ste 6, Jacksonville, NC 28540-3606 | 2017-06-28 |
| 1043730617 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1899 N Marine Blvd, Jacksonville, NC 28546-6555 | 2017-06-23 |
| 1255851358 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1728 Fordham Blvd, Chapel Hill, NC 27514-2397 | 2017-06-21 |
| 1154841260 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1328 Lake Park Blvd N, Carolina Beach, NC 28428-3935 | 2017-06-21 |
| 1881114007 | Med First Immediate Care & Family Practice Pa | Family Medicine | 718 W Corbett Ave, Swansboro, NC 28584-8452 | 2017-06-20 |
| Street Address |
5130 SOUTHPORT SUPPLY RD SE STE 101 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-9262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427561067 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1629189279 | Robert A Wilson | Family Medicine | 717 N Howe St, Southport, NC 28461-3459 | 2006-08-31 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| 1235163668 | John William Moore | Family Medicine | 1456 Howe Street, Suite 201, Southport, NC 28461-2674 | 2006-07-10 |
| 1902839632 | Southport Urgent Care Plls | Family Medicine | 1456 N Howe St, Suite 100, Southport, NC 28461-2754 | 2006-07-08 |
| 1679550305 | George Thomas Holland | Family Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2005-12-22 |
| 1043207749 | John D Irvin | Family Medicine | 4654 Long Beach Rd Se, Southport, NC 28461-8799 | 2005-09-29 |
| 1215936356 | Domenic A Palagruto | Family Medicine | 3599 George II Hwy, Southport, NC 28461-7793 | 2005-07-20 |
| 1609489921 | Robert A Wilson Md | Family Medicine | 717 N Howe St, Southport, NC 28461-3459 | 2020-08-26 |
| 1811420029 | Sarah Ward | Family Medicine | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2017-04-05 |
| Find all providers in SOUTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.