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PRACTITIONER GROUP - GENERAL
NPI 1154399699
Clinic/Center in Lumberton, NC

Active since March 10, 2006
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Practitioner Group - General NPPES

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

PRACTITIONER GROUP - GENERAL (NPI 1154399699) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since March 2006. The organization lists C. Thomas Johnson, V. P. Finance, as its authorized official.

NPPES Registry Identity

NPI1154399699
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 671-5000
Phone(910) 671-5000
Organization SubpartNo
Authorized OfficialC. Thomas JohnsonV. P. Finance · (910) 671-5090
Enumeration DateMarch 10, 2006
Last NPPES UpdateNovember 2, 2009
✔ NPI 1154399699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · H0064
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
300 W 27TH ST, Lumberton, NC 28358
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Other Names 1

Other NamePractitioner Group - General

Other Identifiers 3

Medicare ID-Type Unspecified235109NC · Group Number-general
Medicaid8907686NC
Medicare OSCAR/certification235109NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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)

Practitioner Group - General 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 Practitioner Group - General, which bills Medicare for the services they deliver. Of these, 7 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 MedicareSame address
Jason Hance, DO
Internal Medicine
NPI 1528626520
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts MedicareSame address
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 Medicare0.4 mi
Allison Jacobs, FNP
Nurse Practitioner
NPI 1225303746
4303 LUDGATE ST
Lumberton, NC 28358
(910) 272-3030
✔ PECOS✔ Accepts Medicare1.2 mi
Ronnie Mantilla, M.D.
Pulmonary Disease
NPI 1164785549
4760 INDEPENDENCE DR
Lumberton, NC 28358
(910) 738-9414
✔ PECOS✔ Accepts Medicare1.8 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.

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 1154399699. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is also known as Practitioner Group - General.

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) 671-5000.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Regional Medical Center accept?

Health plans from Cigna Healthcare 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 November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.