Individual provider Active NPI

Charles Azubuike Anene, MD

  • Surgery Physician
  • Lumberton, NC
National Provider Identifier
1124108303
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2016-02042 Issued in NC
Practice address
300 W 27TH St
Lumberton, NC 28358-3075
Phone
(910) 671-5000
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2016-02042 NC Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2016-02042 NC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD066370L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA06518800 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01099104A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 04-24542 KS

Addresses

Primary practice location

300 W 27TH St
Lumberton, NC 28358-3075

Mailing address

PO Box 63362
Charlotte, NC 28263-3362
Phone (800) 782-6945

Other practice location 1

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Other practice location 2

2153 Valleygate Dr Ste 101
Fayetteville, NC 28304-3667
Phone (910) 672-0350

Other identifiers 11

IdentifierTypeStateIssuer
2372299OtherAETNA
8438706OtherNJ MEDICAL ASSISTANCE
012207OtherNJMEDICARE
1125019OtherKEYSTONE MERCY HEALTH PLA
001820720001MedicaidPA
8211867002OtherCIGNA
0071575000OtherAMERIHEALTH
0152107202OtherAMERICHOICE
330005393OtherRAILROAD MEDICARE
0071575000OtherIBC
019033OtherHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040802001001 PA Practitioner - Thoracic Surgery 2769453083 Reassigns benefits to 1 organization
I20161205000398 NC Practitioner - Thoracic Surgery 2769453083 Reassigns benefits to 1 organization
I20260326002573 IN Practitioner - General SurgeryPractitioner - Thoracic Surgery 2769453083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Creighton University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

Practice addresses (Care Compare)

2936 N Elm St
Suite 102
Lumberton, NC 28358-2981
Phone (910) 671-6619

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-02042NCMDSurgery Physician
01099104AINMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA06518800NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 28, 2019 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Aug 30, 2017 Accepting new patients
Southeastern Regional Physician Services CurrentSince Aug 30, 2017 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 25, 2020 Accepting new patients
Cape Fear Valley Health Medical Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 15, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Jul 28, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 25, 2020 Accepting new patients
Advanced Heart & Lung Surgeons, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2153 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 672-0350

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: canene807192@direct.unc.nchie.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1124108303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362",
            "telephone_number": "800-782-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-625-4699",
            "fax_number": "785-261-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2153 Valleygate Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043667",
            "country_code": "US",
            "telephone_number": "910-672-0350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANENE",
        "first_name": "CHARLES",
        "middle_name": "AZUBUIKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-02042",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2016-02042",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD066370L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA06518800",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01099104A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KS",
            "license": "04-24542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2372299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL ASSISTANCE",
            "identifier": "8438706",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "012207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "1125019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001820720001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8211867002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0071575000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0152107202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "330005393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0071575000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "019033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.