Healthcare Provider Details

I. General information

NPI: 1326288937
Provider Name (Legal Business Name): A PRIMARY CHOICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 FAYETTEVILLE RD
LUMBERTON NC
28358-2697
US

IV. Provider business mailing address

PO BOX 159
SAINT PAULS NC
28384-0159
US

V. Phone/Fax

Practice location:
  • Phone: 910-738-3939
  • Fax:
Mailing address:
  • Phone: 910-865-3500
  • Fax: 910-865-3874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY LOCKLEAR
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 910-865-3500