| Practitioner Group - General | |
|
300 W 27th St Lumberton NC 28358-3075 | |
| (910) 671-5000 | |
| Not Available |
| Full Name | Practitioner Group - General |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 W 27th St, Lumberton, North Carolina |
| Authorized Official Name and Position | C. Thomas Johnson (V. P. FINANCE) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practitioner Group - General 300 W 27th St Lumberton NC 28358-3075 Ph: (910) 671-5000 | Practitioner Group - General 300 W 27th St Lumberton NC 28358-3075 Ph: (910) 671-5000 |
| NPI Number | 1154399699 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 11/02/2009 |
| Medicare PECOS PAC ID | 7315857141 |
|---|---|
| Medicare Enrollment ID | O20040119000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154399699 | NPI | - | NPPES |
| 8907686 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H0064 (North Carolina) | Primary |
| Provider Name | Joseph E Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518955269 PECOS PAC ID: 3375569643 Enrollment ID: I20051017000906 |
| Provider Name | James Donald Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639183700 PECOS PAC ID: 0345224705 Enrollment ID: I20070118000431 |
| Provider Name | Harmohan Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487608154 PECOS PAC ID: 9638163355 Enrollment ID: I20070122000181 |
| Provider Name | Richard H Woerndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639298912 PECOS PAC ID: 8527959873 Enrollment ID: I20071107000177 |
| Provider Name | Charles Ronald Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043217656 PECOS PAC ID: 7315024114 Enrollment ID: I20080403000249 |
| Provider Name | Jennifer V Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770778573 PECOS PAC ID: 6709942519 Enrollment ID: I20090303000530 |
| Provider Name | Preetinder Ps Brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851445209 PECOS PAC ID: 9133270853 Enrollment ID: I20090619000202 |
| Provider Name | John T Atkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487638169 PECOS PAC ID: 3274579727 Enrollment ID: I20100203000938 |
| Provider Name | Maria E Diaz-gonzalez Ferris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962575621 PECOS PAC ID: 4789710518 Enrollment ID: I20100331000097 |
| Provider Name | Sadananda Belinje Hegde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083611586 PECOS PAC ID: 6305962010 Enrollment ID: I20100929001579 |
| Provider Name | Anita L Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700184660 PECOS PAC ID: 2769655109 Enrollment ID: I20111101000307 |
| Provider Name | Allison Locklear Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225303746 PECOS PAC ID: 1254594393 Enrollment ID: I20120529000522 |
| Provider Name | Jamison Yvonne Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033546494 PECOS PAC ID: 3375770266 Enrollment ID: I20131223000413 |
| Provider Name | John B Lykes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053637181 PECOS PAC ID: 4981847241 Enrollment ID: I20150415000945 |
| Provider Name | Michael David Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134412943 PECOS PAC ID: 7416172879 Enrollment ID: I20150803001249 |
| Provider Name | Satyanarayana R Vaidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548410095 PECOS PAC ID: 6406025204 Enrollment ID: I20150813011199 |
| Provider Name | Richard Spotswood Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346220621 PECOS PAC ID: 0446553747 Enrollment ID: I20160309000663 |
| Provider Name | Jason Evan Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285809475 PECOS PAC ID: 6507003498 Enrollment ID: I20170905003131 |
| Provider Name | Donna Spivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548825433 PECOS PAC ID: 4183958234 Enrollment ID: I20190625000639 |
| Provider Name | Lloyd C Meeks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801094156 PECOS PAC ID: 5799957403 Enrollment ID: I20190729001425 |
| Provider Name | Melissa Ann Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093164725 PECOS PAC ID: 8325327018 Enrollment ID: I20191219000382 |
| Provider Name | Chandar R Abboy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20200304002870 |
| Provider Name | Allison D Kinlaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528618352 PECOS PAC ID: 4486067766 Enrollment ID: I20210105002173 |
| Provider Name | Rhonda Osborne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942892567 PECOS PAC ID: 2062815582 Enrollment ID: I20210721003118 |
| Provider Name | Desiderio Pina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043206998 PECOS PAC ID: 2961305867 Enrollment ID: I20220105002945 |
| Provider Name | Kasie Alison Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067213 PECOS PAC ID: 0345543443 Enrollment ID: I20220125000367 |
| Provider Name | Mustafa K Kareem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912566241 PECOS PAC ID: 4183959299 Enrollment ID: I20220625000158 |
| Provider Name | Taren Oxendine Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740926823 PECOS PAC ID: 4284006461 Enrollment ID: I20230216001683 |
| Provider Name | Jamie Parker Talton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902293996 PECOS PAC ID: 5890081467 Enrollment ID: I20230411001928 |
| Provider Name | Victoria Lynn Harness |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952393225 PECOS PAC ID: 5193703254 Enrollment ID: I20230530002279 |
| Provider Name | Ilya Al Salman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972124048 PECOS PAC ID: 7618394263 Enrollment ID: I20230711001232 |
| Provider Name | Alexandra D Merrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144910308 PECOS PAC ID: 2860852282 Enrollment ID: I20230718000179 |
| Provider Name | Edward A Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386617389 PECOS PAC ID: 9537148085 Enrollment ID: I20230913003337 |
| Provider Name | Thersia J Knapik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679790034 PECOS PAC ID: 7719250513 Enrollment ID: I20231005000288 |
| Provider Name | Karen Y Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669479606 PECOS PAC ID: 9537062344 Enrollment ID: I20240416002908 |
Southeastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
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 | |
Southerastern Health Mall Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2934 North Elm St., Suite B, Lumberton, NC 28358 Phone: 910-272-1175 Fax: 910-272-1176 | |
Pain Management Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4308 Ludgate St, Lumberton, NC 28358 Phone: 910-671-9298 Fax: 910-738-3764 | |
Southeastern Medical Clinic North Lumberton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358 Phone: 910-272-3051 Fax: 910-738-3764 | |
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 |