| 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 | Godfrey D Onime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752198 PECOS PAC ID: 7315922663 Enrollment ID: I20040621001411 |
| Provider Name | Clyde a Epps |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174740138 PECOS PAC ID: 0840248605 Enrollment ID: I20050107000691 |
| Provider Name | Joseph E Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518955269 PECOS PAC ID: 3375569643 Enrollment ID: I20051017000906 |
| Provider Name | Scot a Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700090529 PECOS PAC ID: 0446278667 Enrollment ID: I20051107000497 |
| Provider Name | Jeffrey E Zapawa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912943051 PECOS PAC ID: 5092740076 Enrollment ID: I20060810000536 |
| 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 | Catherine L Gaines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063458941 PECOS PAC ID: 3779682745 Enrollment ID: I20070618000009 |
| Provider Name | Sean Whalen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043429152 PECOS PAC ID: 3779678073 Enrollment ID: I20071002000339 |
| Provider Name | Richard 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 | Hetal P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427265537 PECOS PAC ID: 4587732433 Enrollment ID: I20081006000568 |
| 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 | Sheryl G Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053314609 PECOS PAC ID: 2062563307 Enrollment ID: I20090627000002 |
| Provider Name | Juliet a Ekatan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124279054 PECOS PAC ID: 8628123692 Enrollment ID: I20090827000676 |
| Provider Name | Hector Cooper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750344875 PECOS PAC ID: 3476693052 Enrollment ID: I20091211000294 |
| 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 - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962575621 PECOS PAC ID: 4789710518 Enrollment ID: I20100331000097 |
| Provider Name | Forrest L Thompson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073551859 PECOS PAC ID: 5698809937 Enrollment ID: I20100823000333 |
| 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 | Trevor Jolly |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588893218 PECOS PAC ID: 5496893182 Enrollment ID: I20101112000732 |
| Provider Name | Charles E Huggins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932278876 PECOS PAC ID: 9133318942 Enrollment ID: I20110110000708 |
| 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 | Jeanie Kittleson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164559415 PECOS PAC ID: 8426039710 Enrollment ID: I20120716000214 |
| Provider Name | Craig Labuda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699747170 PECOS PAC ID: 7315129814 Enrollment ID: I20130412000327 |
| 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 | Ernestine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588057137 PECOS PAC ID: 0749501864 Enrollment ID: I20150602000186 |
| 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 | Sam Armani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417968579 PECOS PAC ID: 7416855804 Enrollment ID: I20160808000909 |
| Provider Name | Bradley Zagol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861424509 PECOS PAC ID: 3779640859 Enrollment ID: I20170621001983 |
| Provider Name | Jason Evan Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285809475 PECOS PAC ID: 6507003498 Enrollment ID: I20170905003131 |
| Provider Name | Theresa Hartsell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295785749 PECOS PAC ID: 1254462765 Enrollment ID: I20180402000528 |
| 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 Raja Abboy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20200304002870 |
| Provider Name | Madeline E Monday |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740812833 PECOS PAC ID: 8224458401 Enrollment ID: I20201009001802 |
| Provider Name | Crystal Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750971628 PECOS PAC ID: 4587071204 Enrollment ID: I20210325000540 |
| Provider Name | Dean Moesch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508819970 PECOS PAC ID: 6709873185 Enrollment ID: I20210331001695 |
| Provider Name | Rhonda Osborne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942892567 PECOS PAC ID: 2062815582 Enrollment ID: I20210721003118 |
| Provider Name | Altaf Lakhani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831581388 PECOS PAC ID: 6305150921 Enrollment ID: I20210729001863 |
| Provider Name | Imran Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003202664 PECOS PAC ID: 0648601047 Enrollment ID: I20211027001907 |
| 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 | Courtney Nicole Enos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417488750 PECOS PAC ID: 1254661622 Enrollment ID: I20220302002056 |
| 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 | Robert Reuter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598799900 PECOS PAC ID: 2365524303 Enrollment ID: I20230522001439 |
| Provider Name | Victoria Lynn Harness |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952393225 PECOS PAC ID: 5193703254 Enrollment ID: I20230530002279 |
| Provider Name | Jason T Hance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528626520 PECOS PAC ID: 8628303260 Enrollment ID: I20230630002456 |
| 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 | Alain Michael Pagaduan Abellada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649582685 PECOS PAC ID: 8628481116 Enrollment ID: I20230922002528 |
| 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 |
| Provider Name | Ronnie Daniel Mantilla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164785549 PECOS PAC ID: 4486961083 Enrollment ID: I20240712003813 |
| Provider Name | Deborah Anne Lehrich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326004490 PECOS PAC ID: 6608886312 Enrollment ID: I20250701000372 |
| Provider Name | Robert Dixon Nottingham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871983007 PECOS PAC ID: 8527414622 Enrollment ID: I20250811000461 |
| Provider Name | Joshua Schoen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952960791 PECOS PAC ID: 6406188671 Enrollment ID: I20250919000872 |
| Provider Name | Khoa Lam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225318827 PECOS PAC ID: 1254753429 Enrollment ID: I20251016003333 |
| Provider Name | Yuzhou Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386096535 PECOS PAC ID: 4789920067 Enrollment ID: I20251017000096 |
| Provider Name | Gabriel Duhancioglu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881190015 PECOS PAC ID: 6002142395 Enrollment ID: I20260126000949 |
| Provider Name | John Sowinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881190627 PECOS PAC ID: 7214279827 Enrollment ID: I20260330000273 |
| Provider Name | Clark T Kholeif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831484112 PECOS PAC ID: 7315230943 Enrollment ID: I20260403001773 |
| Provider Name | Christopher W Bratteli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467676148 PECOS PAC ID: 2466549910 Enrollment ID: I20260501001807 |
| Provider Name | Gillian Griffith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851322143 PECOS PAC ID: 3274777206 Enrollment ID: I20260506001778 |
| Provider Name | Kirubahara Vaheesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982891271 PECOS PAC ID: 1658460332 Enrollment ID: I20260615000492 |
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 Medical Clinic Tanglewood 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 |