JESSICA LEIGH LOCKLEAR
COASTAL SOUTHEASTERN UNITED CARE LLC

Address: 100 Memory Plz, A, Whiteville, NC 28472-2640

JESSICA LEIGH LOCKLEAR (NPI# 1245705359, PAC ID# 6406268432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1245705359
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 6406268432
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20201216002520
Last Name LOCKLEAR
First Name JESSICA
Middle Name LEIGH
Gender F
Organization Legal Name COASTAL SOUTHEASTERN UNITED CARE LLC
Address 3640 Express Dr
Shallotte
NC 28470-6501
Phone Number 9107555222
Graduation Year 2018
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 6204089188
Number of Group Practice Members 10
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Other Locations

Organization Location Address Phone
3640 Express Dr, Shallotte, NC 28470-6501 9107555222 COASTAL SOUTHEASTERN UNITED CARE LLC
100 Memory Plz, A, Whiteville, NC 28472-2640 9106402230 COASTAL SOUTHEASTERN UNITED CARE LLC

Provider Overview

Nation Provider ID (NPI) 1245705359
by National Plan and Provider Enumeration System (NPPES)
Full Name JESSICA LEIGH LOCKLEAR
Taxonomy Code 1041C0700X
Taxonomy Classification Social Worker · Clinical
Location 2200 Clyborn Church Rd, Lumberton, NC 28360-9356

Organization Information

Organization Legal Name COASTAL SOUTHEASTERN UNITED CARE LLC

Physicians Physicians in the same organization

Name Specialty Organization Address
Sheila Cannon Nurse Practitioner Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Brittany Carol Barnes Clinical Social Worker Coastal Southeastern United Care LLC 30 Drakes Branch Dr, Pembroke, NC 28372-7325
Brenda Sue Willis Psychiatry Coastal Southeastern United Care LLC 1040 X Ray Dr, Gastonia, NC 28054-7488
Elizabeth Barton Nurse Practitioner Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Kathy Asbury Nurse Practitioner Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Mallory R Parker Clinical Social Worker Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Heidi Michell Smith Nurse Practitioner Coastal Southeastern United Care LLC 100 Memory Plz, A, Whiteville, NC 28472-2640
Lunsford R King Jr. Psychiatry Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Crystal Martinez Nurse Practitioner Coastal Southeastern United Care LLC 3640 Express Dr, Shallotte, NC 28470-6501
Michelle L Perkins Clinical Social Worker Coastal Southeastern United Care LLC 30 Drakes Branch Dr, Pembroke, NC 28372-7325
Find all physicians in the same organization

Office Location

Street Address 100 MEMORY PLZ
A
City WHITEVILLE
State NC
Zip Code 28472-2640

Physicians in the same location

Name Specialty Organization Address
Heidi Michell Smith Nurse Practitioner Coastal Southeastern United Care LLC 100 Memory Plz, A, Whiteville, NC 28472-2640

Physicians in the same zip code

Name Specialty Organization Address
Richard C Fleming Internal Medicine 116 Memory Plaza Washington St, Whiteville, NC 28472-2640

Physicians in the same zip code prefix

Name Specialty Organization Address
Angel L Vazquez Psychiatry Rha Behavioral Health Nc LLC 603 Pecan Ln, Whiteville, NC 28472-2949
Burt William Dobson Family Medicine Rha Behavioral Health Nc LLC 603 Pecan Ln, Whiteville, NC 28472-2949
Andrew J Hutchinson General Surgery 711 N Franklin St, Whiteville, NC 28472-3412
Nicole H Britt Nurse Practitioner North Whiteville Urgent Care and Family Practice Pa 614 N Jk Powell Blvd, Whiteville, NC 28472-3008
Michael L Cahn General Surgery 611 N Madison St, Whiteville, NC 28472-3309
John L Lewis Optometry 221 Jefferson St, Suite A, Whiteville, NC 28472-3415
Grant O Bishop Physical Therapy Renew Health and Physical Therapy, LLC 812 Pinckney St, Whiteville, NC 28472-3308
Ronald M Walters General Surgery Walters Surgical Assoc Pa 220 Jefferson St, Whiteville, NC 28472-3416
David L Greco General Surgery Walters Surgical Assoc Pa 220 Jefferson St, Whiteville, NC 28472-3416
Krystie N Price Butler Physical Therapy Renew Health and Physical Therapy, LLC 812 Pinckney St, Whiteville, NC 28472-3308
Find all in zip 28472

Competitor

Search similar physicians

City WHITEVILLE
Zip Code 28472
Specialty CLINICAL SOCIAL WORKER
City + Specialty WHITEVILLE + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.