MEDICARE: FHPG, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CA6647	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0158J	OTHER	NC	BCBS
4	02AY7	OTHER	NC	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720034895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHPG, LLC

Provider Business Mailing Address
First Line	:	921 S LONG DR STE 101
Second Line	:
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379-4874
Country	:	US
Telephone Number	:	910-417-3850
Fax Number	:	910-417-3866

Provider Business Practice Location Address
First Line	:	921 S LONG DR
Second Line	:	SUITE 101
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379-4874
Country	:	US
Telephone Number	:	910-417-3850
Fax Number	:	910-417-3866

Authorized Official
Title or Position	:	CEO
Name	:	MICKEY FOSTER
Credential	:
Telephone Number	:	910-715-4473

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/06/2025

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Directions to “FHPG, LLC ” Practice Location

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