Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Phoenix Locklear

Individual provider Physician Assistant · NPI 1942083100

Mr. Phoenix Locklear is a Physician Assistant in Lumberton, North Carolina. Qualified in 2023, 3 years ago. Practices with Scotland Memorial Hospital, Inc, a 257-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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Practice location Address checks out

300 W 27th St
Lumberton, NC 28358-3075
Phone: (910) 671-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2934 N Elm St Ste B, Lumberton, NC 28358-2987 — (910) 272-1175
  • 410 S Jones St, Pembroke, NC 28372-7261 — (910) 521-4462

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13860 (NC)

Record details

NPI number1942083100
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Scotland Memorial Hospital, Inc — 257 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lumberton