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STEPHENS OUTREACH CENTER, INC
NPI 1952554388
Family Medicine - Addiction Medicine in Lumberton, NC

Active since October 29, 2008CLIA 34D2339239 · Accreditation
405A DUNN RD, LUMBERTON, NC 28358(910) 738-7865(910) 738-7876 Get Directions Write a Review

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

Record update history: May 22, 2026, Jan 9, 2025 (2 updates tracked since 2025).

About Stephens Outreach Center, Inc NPPES

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

STEPHENS OUTREACH CENTER, INC (NPI 1952554388) is a healthcare organization registered as an addiction medicine in Lumberton, North Carolina and active in the NPI registry since October 2008. The organization holds an CLIA Accreditation certificate valid through February 25, 2028, maintains 2 additional practice locations, and lists Alicia Shereese Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952554388
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSTEPHENS OUTREACH CENTER, INC
Location Address405A DUNN RDLumberton, NC 28358-7913
Mailing Address405a Dunn RdLumberton, NC 28358-7913 · (910) 738-7865 · Fax (910) 738-7876
Phone(910) 738-7865
Fax(910) 738-7876
Organization SubpartNo
Authorized OfficialAlicia Shereese MooreCeo · (910) 738-7865
Enumeration DateOctober 29, 2008
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1952554388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License MHL078149 (NC)
405A DUNN RD, Lumberton, NC 28358
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113104 Nc Highway 130 EFairmont, NC 28340-9597 · Phone (910) 535-1423
Location 21880 S 17th StWilmington, NC 28401-6444 · Phone (910) 339-6831

Other Identifiers 2

Medicaid8301487BNC
Medicaid6604154NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephens Outreach Center, Inc 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 Stephens Outreach Center, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Alicia Moore, LCAS-A
Mental Health Counselor
NPI 1356683148
9027 GROUSE RUN LN
Fayetteville, NC 28314
(910) 717-6019
✔ PECOS30 mi
Imani Johnson, MS, MSW, LCSWA
Clinical Social Worker
NPI 1073938254
2700 CHIPPENDALE TRL
Sanford, NC 27330
(919) 718-7754
✔ PECOS59 mi

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

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 Accreditation 34D2339239

Stephens Outreach Center · Wilmington, NC
Active · expires Feb 25, 2028
CLIA Number34D2339239
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorKelly M. Walton-Bean
Laboratory Phone(919) 766-8791
Laboratory LocationStephens Outreach Center1880 South 17th Street, Wilmington, NC 28401
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Stephens Outreach Center, Inc's NPI number?

The NPI number for Stephens Outreach Center, Inc is 1952554388. It was assigned to this organization in the NPPES registry on October 29, 2008.

Where is Stephens Outreach Center, Inc located?

Stephens Outreach Center, Inc is located at 405A Dunn Rd, Lumberton, NC 28358. The listed phone number is (910) 738-7865.

What is Stephens Outreach Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Stephens Outreach Center, Inc enrolled in Medicare?

Yes. Stephens Outreach Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephens Outreach Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Stephens Outreach Center, Inc, in Clinical Social Worker and Mental Health Counselor. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stephens Outreach Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2339239) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stephens Outreach Center, Inc was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.