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LOCKLEAR FAMILY PRACTICE, PLLC
NPI 1932628187
Nurse Practitioner in Pembroke, NC

Active since September 19, 2017
17 LIVERMORE DR, PEMBROKE, NC 28372(910) 775-0210(910) 775-0110 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 22, 2022, Dec 21, 2017, Sep 19, 2017 (3 updates tracked since 2017).

About Locklear Family Practice, Pllc NPPES

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

LOCKLEAR FAMILY PRACTICE, PLLC (NPI 1932628187) is a healthcare organization registered as a nurse practitioner in Pembroke, North Carolina and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Pembroke and lists Jodella Locklear, Nurse Practitioner, President, as its authorized official.

NPPES Registry Identity

NPI1932628187
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLOCKLEAR FAMILY PRACTICE, PLLC
Location Address17 LIVERMORE DRPembroke, NC 28372-7282
Mailing Address17 Livermore DrPembroke, NC 28372-7282 · (910) 775-0210 · Fax (910) 775-0110
Phone(910) 775-0210
Fax(910) 775-0110
Organization SubpartNo
Authorized OfficialJodella LocklearNurse Practitioner, President · (910) 775-0210
Enumeration DateSeptember 19, 2017
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1932628187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17 LIVERMORE DR, Pembroke, NC 28372
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Secondary Practice Location 1

Location 117 Livermore DrPembroke, NC 28372-7282 · Phone (910) 775-0210 · Fax (910) 775-0110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Locklear Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Locklear Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jodella Locklear, FNP-C
Nurse Practitioner
NPI 1578565164
17 LIVERMORE DR
Pembroke, NC 28372
(910) 775-0210
✔ PECOS✔ Accepts MedicareSame address
Natalie Locklear, NP
Nurse Practitioner
NPI 1083956577
17 LIVERMORE DR
Pembroke, NC 28372
(910) 775-0210
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Locklear Family Practice, PLLC's NPI number?

The NPI number for Locklear Family Practice, PLLC is 1932628187. It was assigned to this organization in the NPPES registry on September 19, 2017.

Where is Locklear Family Practice, PLLC located?

Locklear Family Practice, PLLC is located at 17 Livermore Dr, Pembroke, NC 28372. The listed phone number is (910) 775-0210.

What is Locklear Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Locklear Family Practice, PLLC enrolled in Medicare?

Yes. Locklear Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Locklear Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Locklear Family Practice, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Locklear Family Practice, PLLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.