Individual provider Active NPI

Crystal Gail Locklear, FNP

  • Family Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1750045498
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015272 Issued in NC
Practice address
700A Progress PL
Laurinburg, NC 28352-5545
Phone
(910) 276-6767
NPI assigned
Oct 28, 2021
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 5015272 NC
Family Nurse Practitioner 363LF0000X 5015272 NC Primary

Addresses

Primary practice location

700A Progress PL
Laurinburg, NC 28352-5545

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clocklear1045086@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20211207000424 NC Practitioner - Nurse Practitioner 1254721251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

105 McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 277-3331

106 McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 277-8044

1600 Medical Dr
Laurinburg, NC 28352-5524
Phone (910) 291-7653

205 Lauchwood Dr
Laurinburg, NC 28352-4779
Phone (910) 277-4410

500 Lauchwood Dr
Laurinburg, NC 28352-5501

500 Lauchwood Dr
Laurinburg, NC 28352-5599

521 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (910) 291-7000

700 A Progress PL
Laurinburg, NC 28352-5545
Phone (910) 276-1702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015272NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

700A Progress Pl
Laurinburg, NC 28352
Phone (910) 276-1702

101 Plaza Rd
Laurinburg, NC 28352
Phone (910) 276-1058

1001 W Dr Martin Luther King Jr Dr
Maxton, NC 28364
Phone (910) 844-4077

Interoperability endpoints

  • Direct secure messaging: crystal.locklear@direct.robesonhealthcarecorporation.nchie.net
  • Direct secure messaging: clocklear1045086@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1750045498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700A PROGRESS PL",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525545",
            "telephone_number": "910-276-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2024-07-15",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015272",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clocklear1045086@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "700A Progress Pl",
            "city": "Laurinburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283525545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.