Individual provider Active NPI

Marla Jo Hardenbergh, MEDICAL DOCTOR

  • Obstetrics & Gynecology Physician
  • Lumberton, NC
National Provider Identifier
1962586214
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2007-01863 Issued in NC
Practice address
4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288
Phone
(910) 735-8040
Fax
(910) 735-8045
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 200701863 NC
Obstetrics & Gynecology Physician 207V00000X 36810 SC
Obstetrics & Gynecology Physician 207V00000X 2007-01863 NC Primary

Addresses

Primary practice location

4901 Dawn Dr Ste 3200
Lumberton, NC 28360-8288

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhardenbergh845489@direct.UNC.nchie.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000631 NC Practitioner - Obstetrics/Gynecology 6002918182 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

4300 Fayetteville Rd
Lumberton, NC 28358-2677
Phone (910) 608-3078

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36810SCMDPsychiatric Pharmacist
200701863NCMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Robeson Office of Treasurer CurrentSince May 7, 2020 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Breeches Buoy Addiction Medicine Services Addiction Medicine CurrentSince May 1, 2021 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 20, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 20, 2018 Accepting new patients
Dr. Jay Whitlock, LLC Past Accepting new patients
Health Care for Women, P a Obstetrics & Gynecology PastSince Sep 1, 2003 Accepting new patients

Locations

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

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

4300 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 608-3078

4901 Dawn Dr
Ste 3200
Lumberton, NC 28360
Phone (910) 735-8040

460 Country Club Rd
Lumberton, NC 28360
Phone (910) 671-3200

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

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

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Organizations & group practices 8

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1962586214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3200",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608288",
            "telephone_number": "910-735-8040",
            "fax_number": "910-735-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDENBERGH",
        "first_name": "MARLA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NC",
            "license": "200701863",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "36810",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2007-01863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhardenbergh845489@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4300 Fayetteville Rd",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.