MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
NPI 1548780661
Family Medicine in Statesville, NC

Active since June 20, 2017CLIA 34D2122102 · Waiver
349 BROOKDALE DR, STATESVILLE, NC 28677(980) 223-2595(980) 223-8610 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 20, 2017 (2 updates tracked since 2017).

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 1548780661) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Paul Feneck, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1548780661
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Location Address349 BROOKDALE DRStatesville, NC 28677-4103
Mailing Address1616 E Millbrook Rd Ste 110Raleigh, NC 27609-4971 · (919) 341-4016 · Fax (910) 346-1907
Fax(980) 223-8610
Organization SubpartYes
Authorized OfficialPaul FeneckChief Executive Officer · (919) 341-4016
Enumeration DateJune 20, 2017
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
NPI 1548780661 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.
349 BROOKDALE DR, Statesville, NC 28677

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 34D2122102

Med First Immediate Care & Family Practice · Statesville, NC
Active · expires Nov 20, 2026
CLIA Number34D2122102
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorManelaos Voulgaropoulos
Laboratory Phone(980) 223-2595
Laboratory LocationMed First Immediate Care & Family Practice349 Brookdale Drive, Statesville, NC 28677
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 3

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

Internal Medicine
349 BROOKDALE DR
STATESVILLE, NC 28677
Internal Medicine (Cardiovascular Disease)
349 BROOKDALE DR
STATESVILLE, NC 28677
Internal Medicine (Cardiovascular Disease)
349 BROOKDALE DR
STATESVILLE, NC 28677

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 Med First Immediate Care & Family Practice PA's NPI number?

The NPI number for Med First Immediate Care & Family Practice PA is 1548780661. It was assigned to this organization in the NPPES registry on June 20, 2017.

Where is Med First Immediate Care & Family Practice PA located?

Med First Immediate Care & Family Practice PA is located at 349 Brookdale Dr, Statesville, NC 28677. The listed phone number is (980) 223-2595.

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.

Does Med First Immediate Care & Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2122102) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Med First Immediate Care & Family Practice PA was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.