Individual provider Active NPI

Donald Dwayne Locklear X

  • Family Nurse Practitioner
  • Pembroke, NC
National Provider Identifier
1639734197
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240044 Issued in NC
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

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531001518 NC Practitioner - Nurse Practitioner 6103159454 Reassigns benefits to 2 organizations

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
Robeson Health Care CorporationGroup PAC ID 1850290693, 24 clinicians

Practice addresses (Care Compare)

307 E Wardell Dr
Pembroke, NC 28372-7998
Phone (910) 521-2816

Hospital & facility affiliations

  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Health Care Corporation CurrentSince May 20, 2019 Accepting new patients
Robeson Health Care Corporation Current Accepting new patients
Robeson Emergency Physicians, PLLC CurrentSince Feb 15, 2020 Accepting new patients
Robeson Health Care Corporation CurrentSince May 20, 2019 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

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

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": "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

Verify at the official NPI Registry.