Active NPI
Donald Dwayne Locklear X
- Family Nurse Practitioner
- Pembroke, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 240044
- Practice address
- 307 E Wardell Dr
Pembroke, NC 28372-7998 - Phone
- (910) 521-2816
- Fax
- (910) 521-3583
- NPI assigned
- May 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 240044 | NC | Primary |
Addresses
Primary practice location
307 E Wardell Dr
Pembroke, NC 28372-7998
Mailing address
60 Commerce Plaza Cir
Pembroke, NC 28372-7386
Phone (910) 521-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 E Wardell Dr
Pembroke, NC 28372-7998
Phone (910) 521-2816
Hospital & facility affiliations
- Southeastern Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robeson Health Care Corporation | Current | Accepting new patients | |
| Robeson Health Care Corporation | Current | Accepting new patients | |
| Robeson Emergency Physicians, PLLC | Current | Accepting new patients | |
| Robeson Health Care Corporation | Current | Accepting new patients | |
| Robeson Health Care Corporation | Current | Accepting new patients |
Locations
210 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6711
1212 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6711
507 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 506-4682
1309 E 5th St
Lumberton, NC 28358
Phone (910) 370-5031
800 Martin Luther King Jr Dr
Lumberton, NC 28358
Phone (910) 370-0815
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
610 E Dr Mlk Jr Dr
Maxton, NC 28364
Phone (910) 844-5253
307 E Wardell Dr
Pembroke, NC 28372
Phone (910) 521-2816
60 Commerce Plaza Cir
Pembroke, NC 28372
Phone (910) 521-2900
128 E Broad St
Saint Pauls, NC 28384
Phone (910) 241-3042
103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- donald.locklear@direct.robesonhealthcarecorporation.nchie.net
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Pembroke, NC
- NPI 1750348538
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1801375373
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1063554095
-
- Federally Qualified Health Center (FQHC)
- Maxton, NC
- NPI 1093772410
-
- Federally Qualified Health Center (FQHC)
- Fairmont, NC
- NPI 1184490104
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1639734197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 COMMERCE PLAZA CIR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727386",
"telephone_number": "910-521-2900",
"fax_number": "910-775-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E WARDELL DR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727998",
"telephone_number": "910-521-2816",
"fax_number": "910-521-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "DONALD",
"middle_name": "DWAYNE",
"name_suffix": "X",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "240044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.