MR. PHOENIX LOCKLEAR
NPI 1942083100
Physician Assistant in Lumberton, NC

Q: What is Phoenix Locklear's NPI number?

The NPI number for Phoenix Locklear is 1942083100. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Q: What is Phoenix Locklear's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Phoenix Locklear was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment

300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Aug 14, 2023 (2 updates tracked since 2023).

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About Mr. Phoenix Locklear NPPES

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

MR. PHOENIX LOCKLEAR (NPI 1942083100) is an individual physician assistant in Lumberton, North Carolina, licensed in North Carolina (0010-13860) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942083100

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. PHOENIX LOCKLEAR

Location Address300 W 27TH STLumberton, NC 28358-3075

Mailing Address63 Burns RdLumberton, NC 28358-0106

Phone(910) 671-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 14, 2023

Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1942083100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-13860

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 W 27TH ST, Lumberton, NC 28358

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Secondary Practice Locations 2

Location 1410 S Jones StPembroke, NC 28372-7261 · Phone (910) 521-4462

Location 22934 N Elm St Ste BLumberton, NC 28358-2987 · Phone (910) 272-1175 · Fax (910) 272-1176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Phoenix Locklear is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284086083

PECOS Enrollment IDI20240117002606, I20250623001218

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

112 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services53 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

43 services27 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

41 services15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

16 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340008

Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

SOUTHEASTERN REGIONAL MEDICAL CENTER

Anesthesiology (Pain Medicine)