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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: November 01, 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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Anesthesiology Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Southeastern Anesthesiology Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Diagnostic Radiology21
Internal Medicine11
Nurse Practitioner11
Pediatric Medicine5
General Surgery3
Psychiatry3
Family Practice2
Hospitalist2
6 other specialties8

Nearest to this location (20)

See all 66
Victoria Harness, D.O.
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOSSame address
Jennifer Lamb, FNP
Nurse Practitioner
NPI 1770778573
300 W 27TH ST SUITE A
Lumberton, NC 28358
(910) 371-5001
✔ PECOS✔ Accepts MedicareSame address
Alexandra Merrell, APRN
Nurse Practitioner
NPI 1144910308
300 W 27TH ST
Lumberton, NC 28358
(910) 322-9999
✔ PECOS✔ Accepts MedicareSame address
Kasie Moore, DNP, FNP-BC
Nurse Practitioner
NPI 1881067213
300 W 27TH ST
Lumberton, NC 28358
(678) 592-1863
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Zapawa, MD
Diagnostic Radiology
NPI 1912943051
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts MedicareSame address
Charles Beasley, M.D.
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.1 mi
Jason Hance, DO
Internal Medicine
NPI 1528626520
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.1 mi
Mustafa Kareem, MD
Internal Medicine
NPI 1912566241
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.1 mi
Durga Lohana, MD
Internal Medicine
NPI 1558055541
395 W 27TH ST
Lumberton, NC 28358
(910) 735-7551
✔ PECOS✔ Accepts Medicare0.1 mi
Jason Davis, M.D.
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare0.3 mi
Joseph Roberts, M.D.
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare0.3 mi
Taren Hunt
Nurse Practitioner
NPI 1740926823
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare0.3 mi
Allison Jacobs, FNP
Nurse Practitioner
NPI 1225303746
4303 LUDGATE ST
Lumberton, NC 28358
(910) 272-3030
✔ PECOS✔ Accepts Medicare1.1 mi
Ronnie Mantilla, M.D.
Pulmonary Disease
NPI 1164785549
4760 INDEPENDENCE DR
Lumberton, NC 28358
(910) 738-9414
✔ PECOS✔ Accepts Medicare1.7 mi
Sadananda Hegde, M.D.
Cardiovascular Disease (Cardiology)
NPI 1083611586
725 OAKRIDGE BLVD STE A3
Lumberton, NC 28358
(910) 738-1141
✔ PECOS✔ Accepts Medicare1.8 mi
James Mcleod, M.D.
Family Practice
NPI 1639183700
725 OAKRIDGE BLVD STE B2
Lumberton, NC 28358
(910) 671-0052
✔ PECOS✔ Accepts Medicare1.8 mi
Godfrey Onime, M.D.
Internal Medicine
NPI 1598752198
4900 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 739-8899
✔ PECOS✔ Accepts Medicare1.8 mi
Karen Robinson, MD
Pediatric Medicine
NPI 1669479606
400 LIBERTY HILL RD
Lumberton, NC 28358
(910) 739-3318
✔ PECOS1.8 mi
Crystal Goins, FNP
Nurse Practitioner
NPI 1750971628
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5734
✔ PECOS✔ Accepts Medicare1.9 mi
Trevor Jolly, M.D.
Medical Oncology
NPI 1588893218
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5730
✔ PECOS1.9 mi
See all 66 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Southeastern Regional Medical Center enrolled in Medicare?

Yes. Southeastern Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 14 Medicare specialties reassign their Medicare billing to Southeastern Regional Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (21), Internal Medicine (11) and Nurse Practitioner (11). Of these, 5 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.