MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
NPI 1073043436
Family Medicine in Roanoke Rapids, 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 18, 2017CLIA 34D2034748 · Waiver

130 CARDINAL DR, ROANOKE RAPIDS, NC 27870(252) 308-0686(252) 308-0872 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2020, Jun 18, 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 1073043436) is a healthcare organization registered as a family medicine in Roanoke Rapids, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Paul Feneck, Manager, as its authorized official.

NPPES Registry Identity

NPI1073043436

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Location Address130 CARDINAL DRRoanoke Rapids, NC 27870-4946

Mailing Address1616 E Millbrook Rd Ste 110Raleigh, NC 27609-4971 · (919) 341-4016 · Fax (910) 346-1907

Phone(252) 308-0686

Fax(252) 308-0872

Organization SubpartYes

Authorized OfficialPaul FeneckManager · (919) 341-4016

Enumeration DateJune 18, 2017

Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration

✔ NPI 1073043436 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.

130 CARDINAL DR, Roanoke Rapids, NC 27870

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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

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 34D2034748

Med First Immediate Care And Family Practice, PA · Roanoke Rapids, NC

Active · expires Jan 3, 2028

CLIA Number34D2034748

Laboratory TypePhysician Office

Certificate Effective DateJanuary 4, 2026

Certificate Expiration DateJanuary 3, 2028

Laboratory DirectorEdward W. Haga

Laboratory Phone(252) 308-0686

Laboratory LocationMed First Immediate Care And Family Practice, PA130 Cardinal Drive, Roanoke Rapids, NC 27870

CLIA data matches this NPI record on: Address Phone

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

Other Providers at the Same Location NPPES 5

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

CARLTON REID BEAMAN JR. PA-C

Physician Assistant