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SAMUEL FLORIAN FONGUE FONGUE MD
NPI 1942553698
Student in an Organized Health Care Education/Training Program in Lumberton, NC

Active since October 18, 2012PECOS Enrolled
300 W 27TH ST, LUMBERTON, NC 28358(910) 735-8784(910) 671-5392 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Florian Fongue Fongue Md NPPES

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

SAMUEL FLORIAN FONGUE FONGUE MD (NPI 1942553698) is an individual student in an organized health care education/training program in Lumberton, North Carolina and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942553698
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL FLORIAN FONGUE FONGUECredential: MD
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address669 Cupota DrClayton, NC 27520-6250 · (240) 476-3373
Phone(910) 735-8784
Fax(910) 671-5392
Sole ProprietorYes
Enumeration DateOctober 18, 2012
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1942553698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 W 27TH ST, Lumberton, NC 28358
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Florian Fongue Fongue Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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)
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5290
MADHU SUDAN BHATTARAI
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ARSLAN FAHIM D.O., M.P.H.
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 272-1230
AMY L ROBERTS CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (843) 661-6215
CHARLES A WOOLLEY CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ASHLEY GREEN RD, LDN
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
MR. HUBERT M CZARNECKI MD
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000

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 Samuel Fongue's NPI number?

The NPI number for Samuel Fongue is 1942553698. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Samuel Fongue located?

Samuel Fongue practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 735-8784.

What is Samuel Fongue's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Fongue enrolled in Medicare?

Yes. Samuel Fongue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Fongue was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.