FIRST CARE MEDICAL CLINIC (NPI# 1417072927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417072927 |
| Entity Type | Organization |
| Organization Name | FIRST CARE MEDICAL CLINIC |
| Other Organization Name | FIRST CARE MEDICAL CLINIC |
| Practice Address |
1426 E Main St Albemarle NC 28001-5236 |
| Mailing Address |
404 S Sutherland Ave Monroe NC 28112-5060 |
| Practice Telephone | 7049820950 |
| Mailing Telephone | 7049820950 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | BENEDICT O OKWARA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7042919267 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTHCAROLINA MEDICAID | QPA311 | 01 |
| NC | MEDICARE GROUP # | 2326436 | 01 |
| NC | 89012HW | 05 | |
| NC | BCBSNC | 012HW | 01 |
| Other Name | Type Code |
|---|---|
| FIRST CARE MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427260108 | First Care Medical Clinic | Pediatrics | 7884 Idlewild Road, Indiantrail, NC 28079 | 2007-05-04 |
| 1639295074 | First Care Medical Clinic | Emergency Medicine | 2938 The Plz, Charlotte, NC 28205-2463 | 2007-03-21 |
| 1285759605 | First Care Medical Clinic | Podiatrist | 9040 Nations Ford Rd, Charlotte, NC 28273-5716 | 2007-03-21 |
| 1184688681 | First Care Medical Clinic | Internal Medicine | 311 South 4th Street, Gadsden, AL 35901-5212 | 2006-04-13 |
| 1609148998 | First Care Medical Clinic | Emergency Medicine | 812 W Innes St, Salisbury, NC 28144-4152 | 2012-02-01 |
| 1881989192 | First Care Medical Clinic | Podiatrist | 1462 Constitution Blvd, Rock Hill, SC 29732-3075 | 2011-06-15 |
| 1639460108 | First Care Medical Clinic | Emergency Medicine | 2450 Aberdeen Blvd, Gastonia, NC 28054-0644 | 2011-05-02 |
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| Street Address |
1426 E MAIN ST |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006999 | Rashida A Mungin | Nurse Practitioner | 1426 E Main St, Albemarle, NC 28001-5236 | 2019-08-01 |
| 1205308418 | Patricia Nicole Bryan | Nurse Practitioner | 1426 E Main St, Albemarle, NC 28001-5236 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427331 | Christina Veatch | Internal Medicine | 1908 Hilco St Ste B, Albemarle, NC 28001-6388 | 2020-02-03 |
| 1245372861 | Albemarle Internal Medicine and Geriatrics, Pllc | Internal Medicine | 331 N 1st St, Albemarle, NC 28001-3904 | 2007-02-12 |
| 1831294305 | Harold Sudhir Samuel | Internal Medicine | 606 N 1st St, Ste G, Albemarle, NC 28001-3371 | 2006-09-13 |
| 1134231277 | Rufus Stamey Lefler IIi | Internal Medicine | 923 North Second Street, Suite 101, Albemarle, NC 28001-3317 | 2006-08-31 |
| 1174503718 | Philip Veatch | Internal Medicine | 1908 Hilco St, Suite B, Suite B, Albemarle, NC 28001-6307 | 2006-01-19 |
| 1942679329 | Carolinas Physicians Network Inc | Internal Medicine | 703 Leonard Ave, Albemarle, NC 28001 | 2015-09-16 |
| 1336535822 | Prashant Bhensdadia | Internal Medicine | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-04-10 |
| 1255735312 | Carolinas Physicians Network Inc | Internal Medicine | 105 Yadkin St, Ste 301, Albemarle, NC 28001-3449 | 2014-10-20 |
| 1588898480 | Stanly Medical Services | Internal Medicine | 929 N 2nd St, Suite 201, Albemarle, NC 28001-3363 | 2009-05-06 |
| 1467639070 | Syed Fakruddin Ali Ahmed | Internal Medicine | 301 Yadkin St, Albemarle, NC 28001-3441 | 2008-01-25 |
| Find all providers in ALBEMARLE | ||||
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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.