SOUTHEASTERN MEDICAL GROUP, PC
NPI 1184669053
Hospitalist in Brevard, NC
- Organization
- Hospitalist
About SOUTHEASTERN MEDICAL GROUP, PC
This page provides the complete NPI Profile along with additional information for Southeastern Medical Group, Pc, a provider established in Brevard, North Carolina operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1184669053 assigned on June 2006. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Southeastern Medical Group, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Randal L Dabbs M.d. (President)
- NPI
- 1184669053 Verify this NPI
- Provider Name
- SOUTHEASTERN MEDICAL GROUP, PC
- Entity Type
- Organization
- Location Address
- 260 HOSPITAL DR BREVARD, NC 28712
- Location Phone
- (828) 884-9111
- Mailing Address
- PO BOX 636020 CINCINNATI, OH 45263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 10-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184669053 | MEDICAID (05) | NC | |
| 3705406 | MEDICAID (05) | TN | |
| DD8348 | OTHER (01) | TN | RRGA MEDICARE |
| 611073900 | OTHER (01) | TN | US DEPT LABOR |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BREVARD, NC 28712
BREVARD, NC 28712
BREVARD, NC 28712
BREVARD, NC 28712
BREVARD, NC 28712
BREVARD, NC 28712
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184669053, enumerated as an "organization" on June 17, 2006.
The provider is located at 260 HOSPITAL DR BREVARD, NC 28712 and the phone number is (828) 884-9111.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.