Individual provider Active NPI

Timothy Lee Lockamy, DO

  • Sports Medicine (Family Medicine) Physician
  • Summerfield, NC
National Provider Identifier
1063919868
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2021-02569 Issued in NC
Practice address
4430 US-20
Summerfield, NC 27358-9420
Phone
(336) 832-8468
NPI assigned
Apr 9, 2018
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2021-02569 NC
Sports Medicine (Family Medicine) Physician 207QS0010X 2021-02569 NC Primary

Addresses

Primary practice location

4430 US-20
Summerfield, NC 27358-9420

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (336) 545-5000

Other practice location 1

3200 Northline Ave Ste 200
Greensboro, NC 27408-7602
Phone (336) 545-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213002078 NC Practitioner - Family Practice 3577953272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

3200 Northline Ave
Suite 160
Greensboro, NC 27408-7613
Phone (336) 545-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021-02569NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Mar 15, 2022 Accepting new patients
Emergeortho PA CurrentSince Mar 15, 2022 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3200 Northline Ave
Ste 160
Greensboro, NC 27408
Phone (336) 545-3530

3200 Northline Ave
Ste 200
Greensboro, NC 27408
Phone (336) 544-3905

1427 Freeway Dr
Reidsville, NC 27320
Phone (336) 545-5020

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

4430 US Highway 220 N
Summerfield, NC 27358
Phone (336) 545-5002

Interoperability endpoints

  • Direct secure messaging: timothy.lockamy.1@847.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1063919868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "336-545-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 US-20",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589420",
            "telephone_number": "336-832-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Northline Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087602",
            "country_code": "US",
            "telephone_number": "336-545-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKAMY",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02569",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2021-02569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

Verify at the official NPI Registry.