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

Active since September 19, 2017CLIA 34D2137117 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through September 20, 2027, 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

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 34D2137117

Locklear Family Practice, PLLC · Pembroke, NC
Active · expires Sep 20, 2027
CLIA Number34D2137117
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorJodella Locklear
Laboratory Phone(910) 827-3169
Laboratory LocationLocklear Family Practice, PLLC17 Livermore Dr, Pembroke, NC 28372
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NATALIE PIERCE LOCKLEAR NP
Nurse Practitioner (Family)
17 LIVERMORE DR
PEMBROKE, NC 28372
Robeson County (910) 775-0210
BRITTANY MEAGAN LOWERY CNM
Advanced Practice Midwife
17 LIVERMORE DR
PEMBROKE, NC 28372
Robeson County (910) 522-7220
MRS. JODELLA LOCKLEAR FNP-C
Nurse Practitioner (Family)
17 LIVERMORE DR
PEMBROKE, NC 28372
Robeson County (910) 775-0210
WOMENS LIFE CENTER OF LUMBERTON PA
Obstetrics & Gynecology
17 LIVERMORE DR
PEMBROKE, NC 28372
Robeson County (910) 522-7220

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.

Does Locklear Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2137117) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 3 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.