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LUMBERTON INTERNAL MEDICINE GROUP
NPI 1376647073
Specialist in Lumberton, NC

Active since September 12, 2006CLIA 34D0978258 · Waiver
4314 LUDGATE ST, LUMBERTON, NC 28358(910) 272-8800(910) 272-0508 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lumberton Internal Medicine Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMBERTON INTERNAL MEDICINE GROUP (NPI 1376647073) is a healthcare organization registered as a specialist in Lumberton, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Mac Adolf Montilus, President, as its authorized official.

NPPES Registry Identity

NPI1376647073
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLUMBERTON INTERNAL MEDICINE GROUP
Location Address4314 LUDGATE STLumberton, NC 28358-2461
Mailing Address4314 Ludgate StLumberton, NC 28358-2461 · (910) 272-8800 · Fax (910) 272-0508
Phone(910) 272-8800
Fax(910) 272-0508
Organization SubpartNo
Authorized OfficialMac Adolf MontilusPresident · (910) 272-8800
Enumeration DateSeptember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376647073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 9701503
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4314 LUDGATE ST, Lumberton, NC 28358
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0978258

Lumberton Internal Medicine Group · Lumberton, NC
Active · expires Sep 19, 2026
CLIA Number34D0978258
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorMac A. Montilus
Laboratory Phone(910) 272-8800
Laboratory LocationLumberton Internal Medicine Group4314 Ludgate Street, Lumberton, NC 28358
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLENE RESHELL LOCKLEAR M.D.
Family Medicine
4314 LUDGATE ST, SUITE B
LUMBERTON, NC 28358
Robeson County (910) 671-8766
INFINITY FAMILY MEDICINE, PLLC
Family Medicine
4314 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 671-8766
LUMBERTON INTERNAL MEDICINE GROUP
Family Medicine
4314 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 272-8800
LUMBERTON INTERNAL MEDICINE GROUP, PA
Internal Medicine
4314 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 272-8800
TRUCARE FAMILY PRACTICE PLLC
Family Medicine
4314 LUDGATE ST, SUITE B
LUMBERTON, NC 28358
Robeson County (910) 671-8766
MR. MAC ADOLF MONTILUS MD
Internal Medicine
4314 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 272-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lumberton Internal Medicine Group's NPI number?

The NPI number for Lumberton Internal Medicine Group is 1376647073. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Lumberton Internal Medicine Group located?

Lumberton Internal Medicine Group is located at 4314 Ludgate St, Lumberton, NC 28358. The listed phone number is (910) 272-8800.

What is Lumberton Internal Medicine Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lumberton Internal Medicine Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0978258) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lumberton Internal Medicine Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.