Active NPI
Millicent Joy Locklear, FNP-C
- Family Nurse Practitioner
- Pembroke, NC
National Provider Identifier
1093144784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5006573
- Practice address
- 10461 Hwy 711
Pembroke, NC 28372 - Phone
- (910) 775-9292
- Fax
- (919) 775-9444
- NPI assigned
- Nov 4, 2013
- Last updated
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006573 | NC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 5006573 | NC |
Addresses
Primary practice location
10461 Hwy 711
Pembroke, NC 28372
Mailing address
812 Candy Park Rd
Pembroke, NC 28372-9129
Phone (910) 521-0201
Other practice location 1
812 Candy Park Rd
Pembroke, NC 28372-9129
Phone (910) 521-0201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5006573 | Other | NC | FNP-C LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10461 NC Hwy 711
Pembroke, NC 28372-9108
Phone (910) 775-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Locklear Prime and Urgent Care | Family | Current | Accepting new patients |
Locations
10461 NC Highway 711
Pembroke, NC 28372
Phone (910) 775-9292
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFDEDD/Endpoint/DFDEDD
- millicentlocklear@lumbertonc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Pembroke, NC
- NPI 1023870508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1093144784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 CANDY PARK RD",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283729129",
"telephone_number": "910-521-0201",
"fax_number": "910-521-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10461 HWY 711",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "28372",
"telephone_number": "910-775-9292",
"fax_number": "919-775-9444"
}
],
"practiceLocations": [
{
"address_1": "812 Candy Park Rd",
"address_purpose": "LOCATION",
"city": "Pembroke",
"state": "NC",
"postal_code": "283729129",
"country_code": "US",
"telephone_number": "910-521-0201",
"fax_number": "910-521-0773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "MILLICENT",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2024-07-15",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006573",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5006573",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP-C LICENSE",
"identifier": "5006573",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.