Individual provider Active NPI

Breeonna Leigh Lowry, NP

  • Family Nurse Practitioner
  • Maxton, NC
National Provider Identifier
1871233957
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015953 Issued in NC
Practice address
610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800
Phone
(910) 844-5253
Fax
(910) 844-3290
NPI assigned
Mar 29, 2022
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 5015953 NC Primary

Addresses

Primary practice location

610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800

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
I20220505001660 NC Practitioner - Nurse Practitioner 5496142788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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)

610 E Dr Martin Luther King Jr Dr
Maxton, NC 28364-1800
Phone (910) 844-5253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5015953NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Health Care Corporation Current Accepting new patients
Robeson Health Care Corporation CurrentSince Nov 7, 2022 Accepting new patients
Robeson Health Care Corporation CurrentSince Nov 7, 2022 Accepting new patients
Robeson Health Care Corporation Current Accepting new patients

Locations

1212 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6711

507 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 506-4682

800 Martin Luther King Jr Dr
Lumberton, NC 28358
Phone (910) 370-0815

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

103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970

Interoperability endpoints

  • Direct secure messaging: blowry962240@direct.unc.nchie.net

Organizations & group practices 4

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 2

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1871233957",
    "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": "610 E DR MARTIN LUTHER KING JR DR",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641800",
            "telephone_number": "910-844-5253",
            "fax_number": "910-844-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "BREEONNA",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxton, NC

Sources for this page

Verify at the official NPI Registry.