Gerard M Devine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

000020716 Issued in NC

Practice address

395 W 27TH St
Lumberton, NC 28358-3018

Phone

(910) 739-7551

Fax

(910) 738-3764

NPI assigned

Jun 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southeastern Regional Medical Center

  dba Southeastern Hospitalists

  • Hospitalist Physician
  • Lumberton, NC
  • NPI 1659531952
  NPD (past)

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1841297454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-272-3051",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583018",
            "telephone_number": "910-739-7551",
            "fax_number": "910-738-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "GERARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "000020716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28375",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashauna Renee Deese, MD
• Meagan Denise Deese, FNP-BC
• Jenna Demareo
• Dennis O. Stuart, PLLC
• Reshma Devi, MD
• Devyne Inc (DeVyne INC Therapy Solutions)
• Dial Chiropractic Accident & Injury Center, PLLC
• Brian Scott Dial, D.C.
• Elizabeth Lowry Dial, PPOTD, OTR/L
• Michelle Locklear Dial, RN

• Internal Medicine Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.