NPIMap

Individual provider Active NPI

Lorena Dunbar Mauney, NP-C

  • Family Nurse Practitioner
  • Southport, NC
National Provider Identifier
1508376484
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009942 Issued in NC
Practice address
4734 Long Beach Rd SE
Southport, NC 28461-8721
Phone
(910) 457-0070
Fax
(910) 267-8936
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009942 NC
Family Nurse Practitioner 363LF0000X 5009942 NC Primary

Addresses

Primary practice location

4734 Long Beach Rd SE
Southport, NC 28461-8721

Mailing address

4734 Long Beach Rd SE
Southport, NC 28461-8721
Phone (910) 457-0070

Other practice location 1

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130000848 NC Practitioner - Nurse Practitioner 5991062937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Medical Center IncorporatedGroup PAC ID 3173434479, shared by 38 NPIs, 96 clinicians
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

4654 Long Beach Rd SE
Southport, NC 28461-8799
Phone (910) 457-0070

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009942NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 23, 2017 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 23, 2017 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

4654 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-0070

4734 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-0070

Interoperability endpoints

  • Direct secure messaging: lmauney@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: lorena.mauneynp.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1508376484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-0070",
            "fax_number": "910-267-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-0070",
            "fax_number": "910-267-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Ocean Hwy E",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284517867",
            "country_code": "US",
            "telephone_number": "910-341-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUNEY",
        "first_name": "LORENA",
        "middle_name": "DUNBAR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.