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SOUTHEASTERN ANESTHESIOLOGY SERVICES
NPI 1003190638
Anesthesiology - Pain Medicine in Lumberton, NC

Active since September 30, 2011CLIA 34D0245377 · Accreditation
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5290(910) 671-8512 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Anesthesiology Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN ANESTHESIOLOGY SERVICES (NPI 1003190638) is a healthcare organization registered as a pain medicine in Lumberton, North Carolina and active in the NPI registry since September 2011. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Charles T. Johnson, Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1003190638
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 671-5290 · Fax (910) 671-8512
Phone(910) 671-5290
Fax(910) 671-8512
Organization SubpartNo
Authorized OfficialCharles T. JohnsonVp Cfo · (910) 671-5090
Enumeration DateSeptember 30, 2011
Last NPPES UpdateJuly 28, 2016
✔ NPI 1003190638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

300 W 27TH ST, Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutheastern Anesthesiology Services

Other Identifiers 1

OtherH0064NC · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D0245377

Southeastern Regional Medical Center, Inc · Lumberton, NC
Active · expires Feb 8, 2027
CLIA Number34D0245377
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Richard D. Johnson
Laboratory Phone(919) 671-5072
Laboratory LocationSoutheastern Regional Medical Center, Inc300 West 27th Street Attn Lori Williams, Lumberton, NC 28358
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADHU SUDAN BHATTARAI
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ARSLAN FAHIM D.O., M.P.H.
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 272-1230
AMY L ROBERTS CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (843) 661-6215
CHARLES A WOOLLEY CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ASHLEY GREEN RD, LDN
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
MR. HUBERT M CZARNECKI MD
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
LAUREN IZZELL
Nurse Practitioner (Family)
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Regional Medical Center's NPI number?

The NPI number for Southeastern Regional Medical Center is 1003190638. It was assigned to this organization in the NPPES registry on September 30, 2011. The provider is doing business as Southeastern Anesthesiology Services.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5290.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Southeastern Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0245377) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Regional Medical Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeastern Regional Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Medical Center was last updated on July 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.