South Lumberton Development Association Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH LUMBERTON DEVELOPMENT ASSOCIATION INC

Practice address

5961 Old Lumberton Rd
Whiteville, NC 28472-5683

Phone

(800) 804-6185

Fax

(910) 230-5722

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Malachi Abdel Aziz

Title

Executive Director

Phone

(800) 804-6185

Specialties & licenses 1

Addresses

Tax ID family

South Lumberton Development Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Lumberton Development Association Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1114866332
  NPD tax ID

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1356297337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 OLD LUMBERTON RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284725683",
            "telephone_number": "800-804-6185",
            "fax_number": "910-230-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 OLD LUMBERTON RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284725683",
            "telephone_number": "800-804-6185",
            "fax_number": "910-230-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Spearman St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283587087",
            "country_code": "US",
            "telephone_number": "800-804-6185",
            "fax_number": "910-230-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH LUMBERTON DEVELOPMENT ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ABDEL AZIZ",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MALACHI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-804-6185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Soles, COTA/L
• Jonathan Soles
• Donald Jeffrey Solomon, MD
• Karissa Roxanne Sorrells
• South Aid Homecare Agency LLC
• Southeast Medical Laboratory LLC
• Southeast Occupational Therapy
• Southeastern Behavioral Healthcare
• Southeastern Regional Physician Services (Southeastern Multi-Specialty Clinic Whiteville)
• Southeastern Services & More LLC

• Community/Behavioral Health Agency in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.