NPIMap

Individual provider Active NPI

Godfrey Dele Onime, M.D.

  • Internal Medicine Physician
  • Lumberton, NC
National Provider Identifier
1598752198
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002-01138 Issued in NC
Practice address
4900 Fayetteville Rd
Lumberton, NC 28358-2110
Phone
(910) 739-8899
Fax
(910) 738-7174
NPI assigned
Sep 29, 2005
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002-01138 NC Primary

Addresses

Primary practice location

4900 Fayetteville Rd
Lumberton, NC 28358-2110

Mailing address

4900 Fayetteville Rd
Lumberton, NC 28358-2110
Phone (910) 739-8899

Other identifiers 2

IdentifierTypeStateIssuer
89133KFMedicaidNC
133KFOtherNCBLUE CROSS BLUE SHIELD

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
I20040621001411 NC Practitioner - Internal Medicine 7315922663 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robeson Hospitalist Group PLLCGroup PAC ID 2567898430, 33 clinicians
Southeastern Regional Medical CenterGroup PAC ID 7315857141, shared by 5 NPIs, 54 clinicians

Practice addresses (Care Compare)

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-01138NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Robeson Hospitalist Group PLLC CurrentSince Jan 1, 2020 Accepting new patients
Southeastern Regional Medical Center CurrentSince Jan 10, 2026 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Carteret County General Hospital Corporation CurrentSince May 27, 2017 Accepting new patients
Primedoc of Randolph County PA Internal Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1598752198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582110",
            "telephone_number": "910-739-8899",
            "fax_number": "910-738-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582110",
            "telephone_number": "910-739-8899",
            "fax_number": "910-738-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIME",
        "first_name": "GODFREY",
        "middle_name": "DELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2002-01138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133KF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "133KF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.