Provider Demographics
NPI:1245233303
Name:EARNEST, ROBERT RHEA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RHEA
Last Name:EARNEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-9494
Mailing Address - Country:US
Mailing Address - Phone:910-608-2100
Mailing Address - Fax:910-608-2102
Practice Address - Street 1:460 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-9494
Practice Address - Country:US
Practice Address - Phone:910-608-2100
Practice Address - Fax:910-608-2102
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17098208000000X, 2080A0000X
SC175852080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900313Medicaid
NC1201123OtherUNITEDHEALTHCARE
NCD8843OtherMEDCOST
NC1095YOtherBCBS
NC5900313Medicaid