Organization Active NPI

Robeson Family Healthcare, PC

  • Family Medicine Physician
  • Lumberton, NC
National Provider Identifier
1245628007
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F0311109 Issued in NC
Legal business name
ROBESON FAMILY HEALTHCARE, PC
Practice address
220 Wintergreen Dr
Suite a
Lumberton, NC 28358-2376
Phone
(910) 536-1896
Fax
(910) 536-1935
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Mrs. Tabatha L Obeda, FNP
Title
President
Phone
(910) 536-1896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X F0311109 NC Primary

Addresses

Primary practice location

220 Wintergreen Dr
Suite a
Lumberton, NC 28358-2376

Mailing address

220 Wintergreen Dr
Suite a
Lumberton, NC 28358-2376
Phone (910) 536-1896

National Provider Directory

National Provider Directory

Locations

220 Wintergreen Dr
Ste A
Lumberton, NC 28358
Phone (910) 536-1896

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1245628007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582376",
            "telephone_number": "910-536-1896",
            "fax_number": "910-536-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582376",
            "telephone_number": "910-536-1896",
            "fax_number": "910-536-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBESON FAMILY HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "OBEDA",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-536-1896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "F0311109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.