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FIRSTHEALTH FAMILY MEDICINE-ELLERBE
NPI 1336154129
Family Medicine in Ellerbe, NC

Active since July 30, 2006CLIA 34D0891704 · Waiver
112 E BALLARD ST, ELLERBE, NC 28338(910) 652-2663(910) 652-3150 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Apr 25, 2017 (2 updates tracked since 2017).

About Firsthealth Family Medicine-ellerbe NPPES

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

FIRSTHEALTH FAMILY MEDICINE-ELLERBE (NPI 1336154129) is a healthcare organization registered as a family medicine in Ellerbe, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Mickey Foster, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336154129
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFHPG, LLC
Location Address112 E BALLARD STEllerbe, NC 28338-9730
Mailing Address112 E Ballard StEllerbe, NC 28338-9730 · (910) 652-2663 · Fax (910) 652-3150
Phone(910) 652-2663
Fax(910) 652-3150
Organization SubpartNo
Authorized OfficialMickey FosterCeo · (910) 715-4773
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1336154129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9901427
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.
112 E BALLARD ST, Ellerbe, NC 28338
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Other Names 1

Doing Business AsFirsthealth Family Medicine-ellerbe

Other Identifiers 5

Other0225ENC · Bcbs #
Other02AY1NC · Bcbs
OtherCA6647NC · Rr Medicare Group #
Medicaid8902804NC
Medicaid1336154129NC

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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 34D0891704

Firsthealth Family Care Center-Ellerbe · Ellerbe, NC
Active · expires Nov 30, 2026
CLIA Number34D0891704
Laboratory TypeHospital Owned Clinic
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorBohdan W. Kopynec MD
Laboratory Phone(910) 817-4060
Laboratory LocationFirsthealth Family Care Center-Ellerbe112 East Ballard Street, Ellerbe, NC 28338
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

BOHDAN WILLIAM KOPYNEC M.D.
Family Medicine
112 E BALLARD ST
ELLERBE, NC 28338
Richmond County (910) 652-2633
BRIDGET NICOLE THOMPSON PA
Physician Assistant
112 E BALLARD ST
ELLERBE, NC 28338
Richmond County (910) 652-2663
CHRISTINE ANNE MCBRIDE PA-C
Physician Assistant (Medical)
112 E BALLARD ST
ELLERBE, NC 28338
Richmond County (910) 652-2663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fhpg, LLC's NPI number?

The NPI number for Fhpg, LLC is 1336154129. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Firsthealth Family Medicine-Ellerbe.

Where is Fhpg, LLC located?

Fhpg, LLC is located at 112 E Ballard St, Ellerbe, NC 28338. The listed phone number is (910) 652-2663.

What is Fhpg, LLC's specialty?

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

Does Fhpg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0891704) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fhpg, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Fhpg, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fhpg, LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.