Organization Active NPI

Infinity Family Medicine, PLLC

  • Family Medicine Physician
  • Lumberton, NC
National Provider Identifier
1417540386
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INFINITY FAMILY MEDICINE, PLLC
Practice address
4314 Ludgate St
Lumberton, NC 28358-2461
Phone
(910) 671-8766
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Charlene Locklear, MD
Title
Owner
Phone
(910) 671-8766

Specialties & licenses 1

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

Addresses

Primary practice location

4314 Ludgate St
Lumberton, NC 28358-2461

Mailing address

4314 Ludgate St
Lumberton, NC 28358-2461
Phone (910) 671-8766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1417540386",
    "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": "910-671-8766"
        },
        {
            "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": "910-671-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-671-8766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Feb 11, 2021; 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.