NPIMap

Individual provider Active NPI

Phoenix Locklear

  • Physician Assistant
  • Lumberton, NC
National Provider Identifier
1942083100
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13860 Issued in NC
Practice address
300 W 27TH St
Lumberton, NC 28358-3075
Phone
(910) 671-5000
NPI assigned
Aug 14, 2023
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13860 NC Primary

Addresses

Primary practice location

300 W 27TH St
Lumberton, NC 28358-3075

Mailing address

63 Burns Rd
Lumberton, NC 28358-0106

Other practice location 1

410 S Jones St
Pembroke, NC 28372-7261
Phone (910) 521-4462

Other practice location 2

2934 N Elm St Ste B
Lumberton, NC 28358-2987
Phone (910) 272-1175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address plocklear1009670@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240117002606 NC Practitioner - Physician Assistant 4284086083 Reassigns benefits to 4 organizations
I20250623001218 SC Practitioner - Physician Assistant 4284086083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

17 Livermore Dr
Pembroke, NC 28372-7282
Phone (910) 522-7220

410 -D S Jones St
Pembroke, NC 28372-7261
Phone (910) 504-8540

5070 Fayetteville Rd
Lumberton, NC 28358-2108
Phone (910) 739-0133

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

957 Cheraw St
Bennettsville, SC 29512-2420
Phone (843) 454-0245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5801SCMDProfessional Counselor
0010-13860NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2024 Accepting new patients
Unc Physicians Network, LLC CurrentSince Mar 22, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Mar 22, 2024 Accepting new patients
Scotland Memorial Hospital, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Scotland Memorial Hospital, Inc Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

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

2934 N Elm St
Ste B
Lumberton, NC 28358
Phone (910) 272-1175

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

Interoperability endpoints

  • Direct secure messaging: plocklear1009670@direct.unc.nchie.net
  • Direct secure messaging: plocklear2784732@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1942083100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BURNS RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283580106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Jones St",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283727261",
            "country_code": "US",
            "telephone_number": "910-521-4462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2934 N Elm St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582987",
            "country_code": "US",
            "telephone_number": "910-272-1175",
            "fax_number": "910-272-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "PHOENIX",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plocklear1009670@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2934 N Elm St Ste B",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.