SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1982037578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982037578 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Other Organization Name | SOUTHEASTERN PALLIATIVE CARE GROUP |
| Practice Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9106715600 |
| Practice Fax Number | 9107393551 |
| Mailing Telephone | 9106715600 |
| Mailing Fax Number | 9107393551 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | C THOMAS JOHNSON III (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 9106715090 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
HOS1599 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Southeastern Palliative Care Group | 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 |
2002 N CEDAR ST STE B |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1386077790 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-21 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548547268 | Laura E Seczech | Physician Assistant | 1613 Route 38 Fl 1, Lumberton, NJ 08048-2921 | 2011-11-09 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1346886454 | Gregory Charles Miller | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2019-11-24 |
| 1972963197 | Derek Yee | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2016-03-01 |
| 1386077790 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-21 |
| 1609143411 | Amanda G. Olsen | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-11-22 |
| 1528121456 | Earl Cummings | Physician Assistant | 395 W 27th St, Lumberton, NC 28358-3018 | 2006-12-19 |
| 1477552198 | Joanna Price Read | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 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.