SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1376507715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376507715 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Other Organization Name | LUMBERTON DIABETES AND ARTHRITIS CLINIC |
| Practice Address |
106 Farm Brook Dr Suite A Lumberton NC 28358-2178 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9106718556 |
| Practice Fax Number | 9106719299 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | MR. C. THOMAS JOHNSON III (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 9106715090 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
H0064 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 016C0 | 01 |
| NC | 89016C0 | 05 |
| Other Name | Type Code |
|---|---|
| Lumberton Diabetes and Arthritis Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063779114 | Southeastern Regional Medical Center | Clinic/Center | 2934 N. El M St., Suite B, Lumberton, NC 28358-2981 | 2012-04-13 |
| 1821361346 | Southeastern Regional Medical Center | Pharmacy | 2934 North Elm St, Suite C, Lumberton, NC 28358 | 2012-02-14 |
| 1013245117 | Southeastern Regional Medical Center | Clinic/Center | 1277 Chicken Foot Rd., Hope Mills, NC 28348-7525 | 2009-12-01 |
| 1871735019 | Southeastern Regional Medical Center | Hearing Aid Equipment | 584 Farringdom St, Lumberton, NC 28358-2615 | 2009-04-02 |
| 1780831776 | Southeastern Regional Medical Center | Health Maintenance Organization | 103 W 27th St, Lumberton, NC 28358-3014 | 2008-08-21 |
| 1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
| 1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
| 1649499278 | Southeastern Regional Medical Center | Substance Abuse Rehabilitation Facility | 107 Dallas Ave, Red Springs, NC 28377-1849 | 2007-04-24 |
| 1215003215 | Southeastern Regional Medical Center | Counselor | 705b Wesley Pines Rd, Lumberton, NC 28358-2105 | 2006-11-28 |
| 1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
| Street Address |
106 FARM BROOK DR SUITE A |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843014 | Southeastern Eye Care, Pa | Clinic/Center | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| 1770081077 | Southeastern Eye Care, Pa | Physical Therapist | 106 Farm Brook Dr, Lumberton, NC 28358-2178 | 2018-02-01 |
| 1811018906 | Sarah Ervin Mouser | Audiologist | 106 Farm Brook Dr, Ste B, Lumberton, NC 28358-2178 | 2007-04-03 |
| 1487725578 | Windy Dotson Christy | Physician Assistant | 106 Farm Brook Dr, Suite A, Lumberton, NC 28358-2178 | 2006-11-13 |
| 1528154010 | Arlene D. Britt | Nurse Practitioner | 106 Farm Brook Dr, Suite A, Lumberton, NC 28358 | 2006-10-04 |
| 1720075336 | Timothy Scott Mouser | Ophthalmology | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669441010 | Campbell Ear, Nose & Throat, Pa | Clinic/Center | 4760 Independence Drive, Lumberton, NC 28358-2835 | 2006-03-17 |
| 1740279876 | Santhosh Augustine | Clinic/Center | 101 W 27th St, Lumberton, NC 28358-3014 | 2005-10-20 |
| 1669697108 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-04-17 |
| 1821179037 | Greater Carolina Ear Nose &throat P.a. | Clinic/Center | 4315 Ludgate St, Lumberton, NC 28358-2460 | 2006-10-17 |
| 1801883467 | Lumberton Obstetrics & Gynecology, Pa | Clinic/Center | 725 Oakridge Blvd, Suite C-1, Lumberton, NC 28358-2351 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
| 1437771193 | Asheville Dermatology Professionals, PC | Clinic/Center | 900 Hendersonville Rd Ste 107, Asheville, NC 28803-1763 | 2020-05-15 |
| 1689210197 | Neogenix, PC | Clinic/Center | 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 | 2019-11-19 |
| 1255898094 | Old Well Medicine, Pllc | Clinic/Center | 1505 Sw Cary Pkwy Ste 302, Cary, NC 27511-6219 | 2019-02-28 |
| 1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
| 1255877841 | Ray Mercado D.o.p.c | Clinic/Center | 1126 N Church St Ste 202, Greensboro, NC 27401-1035 | 2017-01-06 |
| 1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
| 1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.