MCPC-27, LLC — NPI 1144002189 (Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) in STAR, NC)

CMS-1500 Box 24J / 33a • NPI

1144002189

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2085R0202X (CMS 30)

Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)

Box 32 Service Location & ZIP+4

236 DAMERON ST., STAR, NC, 27356

Official NPPES Practice Location

Practice Phone & Referral Fax

(910) 715-5864

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144002189 (MCPC-27, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1144002189` (NPI-2 Organization / Facility)
Provider / Legal Name	MCPC-27, LLC
Plain-English Specialty	Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) NUCC Code: `2085R0202X` (Radiology, Diagnostic Radiology)
Certifying / Licensing Body	American Board of Radiology (ABR) / FRCR
Practice Location Address	236 DAMERON ST., STAR, NC, 27356
Practice Telephone / Fax	Tel: (910) 715-5864
Administrative Mailing Address	155 MEMORIAL DR, PINEHURST, NC, 28374-8710
Enumeration & Last Sync	Enumerated: 2023-10-16 \| CMS Record Updated: 2026-07-24
Authorized Official	MICKEY FOSTER (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

236 DAMERON ST., STAR, NC, 27356

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Plain-English Taxonomy & CMS Crosswalk (2085R0202X)

What Does Taxonomy Code 2085R0202X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0202X translates to:
"Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: American Board of Radiology (ABR) / FRCR
Clinical Scope: Referred by your physician for accurate medical imaging interpretation (Ultrasound, CT, MRI, Mammogram, or X-ray) or image-guided biopsy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MCPC-27, LLC)

Typical CPT / Diagnostic Procedures:

Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis
Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)
Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound
3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)

Common Therapeutic Classes:

Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)
Gadolinium-Based MRI Contrast Agents
Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085B0100X` — Radiology, Body Imaging Plain English: Licensed & Credentialed Radiology, Body Imaging	State: N/A \| License: `Verified` \| Primary: Secondary
`2085R0202X` — Radiology, Diagnostic Radiology Plain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`293D00000X` — Physiological Laboratory Plain English: Licensed & Credentialed Laboratories — Physiological Laboratory	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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MCPC-27, LLC (NPI #1144002189)