Active NPI
The Clinic at Walmart
- Primary Care Clinic/Center
- Lumberton, NC
National Provider Identifier
1235595927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 196391
- Legal business name
- THE CLINIC AT WALMART
- Practice address
- 5070 Fayetteville Rd
Lumberton, NC 28358-2108 - Phone
- (910) 739-0133
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Hershberger, FNP
- Title
- Family Nurse Practitioner
- Phone
- (910) 736-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 196391 | NC | Primary |
Addresses
Primary practice location
5070 Fayetteville Rd
Lumberton, NC 28358-2108
Mailing address
341 Sandstone Rd
Red Springs, NC 28377-6469
Phone (910) 736-7002
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2031891 | Clinic at Walmart, the - Operated by Unc | Provider-performed microscopy | Oct 30, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452470400000",
"number": "1235595927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 SANDSTONE RD",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "283776469",
"telephone_number": "910-736-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582108",
"telephone_number": "910-739-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CLINIC AT WALMART",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A",
"authorized_official_last_name": "HERSHBERGER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "910-736-7002",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NC",
"license": "196391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
- Jennifer Hunnicutt Taylor, PA-C
- Renae Owens Taylor, RN, BSN, MSN, FNP-C
- Sheila E Taylor, M.ED.,CCC-SLP
- TDP Transport
- The Carrolton of Lumberton, LLC (The Carrolton of Lumberton)
- The Growth Center
- The Health and Wellness Center of Lumberton, PLLC
- The Mental Health Association in North Carolina, Inc (Southeastern Regional ACTT)
- The Mental Health Association in North Carolina, Inc (Southeastern Regional ACTT)
- The Right Way Agency Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.