Active NPI
Lumberton Internal Medicine Group
- Specialist
- Lumberton, NC
National Provider Identifier
1376647073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9701503
- Legal business name
- LUMBERTON INTERNAL MEDICINE GROUP
- Practice address
- 4314 Ludgate St
Lumberton, NC 28358-2461 - Phone
- (910) 272-8800
- Fax
- (910) 272-0508
- NPI assigned
- Sep 12, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Mac Adolf Montilus, MD
- Title
- President
- Phone
- (910) 272-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9701503 | NC | Primary |
Addresses
Primary practice location
4314 Ludgate St
Lumberton, NC 28358-2461
Mailing address
4314 Ludgate St
Lumberton, NC 28358-2461
Phone (910) 272-8800
National Provider Directory
National Provider Directory- Tax ID family
- Lumberton Internal Medicine Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Lumberton, NC
- NPI 1477627180
-
- Internal Medicine Physician
- Lumberton, NC
- NPI 1538109046
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHIBCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lumberton, NC
- NPI 1922044791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376647073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 LUDGATE ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582461",
"telephone_number": "910-272-8800",
"fax_number": "910-272-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 LUDGATE ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582461",
"telephone_number": "910-272-8800",
"fax_number": "910-272-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMBERTON INTERNAL MEDICINE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTILUS",
"authorized_official_first_name": "MAC",
"authorized_official_middle_name": "ADOLF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-272-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "9701503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
- Lumberton Emergency Rescue Unit
- Lumberton Family & Urgent Care Center PLLC
- Lumberton Family Medical Center
- Lumberton Family Urgent Care Center
- Lumberton Health Care, Inc. (The Hermitage Retirement Center)
- Lumberton Internal Medicine Group
- Lumberton Internal Medicine Group, PA
- Lumberton Medical Clinic, P.a.
- Lumberton Obstetrics & Gynecology Associates PA
- Lumberton Obstetrics & Gynecology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.