| |
3005 N Elm St Lumberton NC 28358-2984 | |
(910) 738-7789 | |
(910) 738-7599 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3005 N Elm St, Lumberton, North Carolina |
Authorized Official Name and Position | Nikkia Day (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7044678799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3005 N Elm St Lumberton NC 28358-2984 Ph: (910) 738-7789 | 3005 N Elm St Lumberton NC 28358-2984 Ph: (910) 738-7789 |
NPI Number | 1326036138 |
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Provider Enumeration Date | 10/06/2005 |
Last Update Date | 02/14/2017 |
Medicare PECOS PAC ID | 3173806346 |
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Medicare Enrollment ID | O20170214000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326036138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
Provider Name | Joseph E Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518955269 PECOS PAC ID: 3375569643 Enrollment ID: I20051017000906 |
Provider Name | Lunsford Richardson King |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831274026 PECOS PAC ID: 5092801175 Enrollment ID: I20071020000129 |
Provider Name | Allison Lynne Scott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629363122 PECOS PAC ID: 0345412904 Enrollment ID: I20111004000773 |
Provider Name | Cynthia Anne Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295824910 PECOS PAC ID: 5890923239 Enrollment ID: I20140110001465 |
Provider Name | Tonna Karenlyn Wyatt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376904011 PECOS PAC ID: 7911296520 Enrollment ID: I20160523000224 |
Provider Name | Amanda Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194266023 PECOS PAC ID: 2668741737 Enrollment ID: I20170705001516 |
Provider Name | Natalie Hunt Locklear |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326509472 PECOS PAC ID: 1951631993 Enrollment ID: I20190918001190 |
Provider Name | Chastity Caulder Benson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053947150 PECOS PAC ID: 0941617153 Enrollment ID: I20210405001561 |
Provider Name | Joel Marvin Hart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497746697 PECOS PAC ID: 4880680099 Enrollment ID: I20220804000863 |
Provider Name | Brittany Nichole Gray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922750322 PECOS PAC ID: 9234596636 Enrollment ID: I20230530002580 |
Provider Name | Bria Brown Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790404879 PECOS PAC ID: 9931561008 Enrollment ID: I20230822001434 |
Provider Name | Leigh Barnhill Hinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043096282 PECOS PAC ID: 8921454265 Enrollment ID: I20231024000424 |
Provider Name | Meagan Denise Deese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215713581 PECOS PAC ID: 7012364847 Enrollment ID: I20231115002725 |
Provider Name | Brandon Lee Locklear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386336394 PECOS PAC ID: 6901255017 Enrollment ID: I20231214003445 |
Provider Name | Michelle Killian Falco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407627326 PECOS PAC ID: 5395184113 Enrollment ID: I20240412002269 |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 N Elm St, Lumberton, NC 28358 Phone: 910-671-5270 | |
Acme Medical Specialties, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4348 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-739-5197 Fax: 910-739-5294 | |
Integrity Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 N Cedar St, Lumberton, NC 28358 Phone: 910-674-3030 Fax: 910-674-3051 |