MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
NPI 1043730617
Family Medicine in Jacksonville, NC

Q: What is Med First Immediate Care & Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 23, 2017CLIA 34D2094268 · Waiver

1899 N MARINE BLVD, JACKSONVILLE, NC 28546(910) 937-7200(910) 937-7061 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2020, Jun 23, 2017 (2 updates tracked since 2017).

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About Med First Immediate Care & Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA (NPI 1043730617) is a healthcare organization registered as a family medicine in Jacksonville, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Paul Feneck, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043730617

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Location Address1899 N MARINE BLVDJacksonville, NC 28546-6555

Mailing Address1616 E Millbrook RdRaleigh, NC 27609-4968 · (919) 341-4016 · Fax (910) 346-1907

Phone(910) 937-7200

Fax(910) 937-7061

Organization SubpartYes

Authorized OfficialPaul FeneckChief Executive Officer · (919) 341-4016

Enumeration DateJune 23, 2017

Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration

✔ NPI 1043730617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

1899 N MARINE BLVD, Jacksonville, NC 28546

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2094268

Med First Immediate Care & Family Practice, PA · Jacksonville, NC

Active · expires Apr 13, 2027

CLIA Number34D2094268

Laboratory TypePhysician Office

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorEdward W. Haga

Laboratory Phone(910) 937-7200

Laboratory LocationMed First Immediate Care & Family Practice, PA1899 North Marine Boulevard, Jacksonville, NC 28546

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TROY JUSTIN EHRHART MD

Family Medicine