SOUTHEASTERN MEDICAL GROUP, PC
NPI 1184669053
Hospitalist in Brevard, NC

Active since June 17, 2006
260 HOSPITAL DR, BREVARD, NC 28712(828) 884-9111 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2024, Oct 3, 2024, Sep 24, 2024 and 1 more (4 updates tracked since 2024).

  • 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
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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)
1363L00000XPhysician 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RANDAL L DABBS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(865) 693-1000

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
1184669053MEDICAID (05)NC 
3705406MEDICAID (05)TN 
DD8348OTHER (01)TNRRGA MEDICARE
611073900OTHER (01)TNUS DEPT LABOR

Reviews for SOUTHEASTERN MEDICAL GROUP, PC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
260 HOSPITAL DR
BREVARD, NC 28712
Pediatrics
260 HOSPITAL DR
BREVARD, NC 28712
Skilled Nursing Facility
260 HOSPITAL DR, MEDICAL STAFF SERVICES- MAIL CODE #15
BREVARD, NC 28712
In Home Supportive Care
260 HOSPITAL DR
BREVARD, NC 28712
Psychiatry & Neurology (Psychiatry)
260 HOSPITAL DR
BREVARD, NC 28712
Psychiatry & Neurology (Neurology)
260 HOSPITAL DR
BREVARD, NC 28712
Psychiatry & Neurology (Neurology)
260 HOSPITAL DR
BREVARD, NC 28712
General Acute Care Hospital (Critical Access)
260 HOSPITAL DR
BREVARD, NC 28712
General Acute Care Hospital (Critical Access)
260 HOSPITAL DR
BREVARD, NC 28712
Home Health
260 HOSPITAL DR
BREVARD, NC 28712
Pharmacist
260 HOSPITAL DR
BREVARD, NC 28712
Pharmacist
260 HOSPITAL DR
BREVARD, NC 28712
Social Worker (Clinical)
260 HOSPITAL DR
BREVARD, NC 28712
Pharmacist
260 HOSPITAL DR
BREVARD, NC 28712
Internal Medicine (Obesity Medicine)
260 HOSPITAL DR
BREVARD, NC 28712
Emergency Medicine
260 HOSPITAL DR
BREVARD, NC 28712
Nurse Anesthetist, Certified Registered
260 HOSPITAL DR
BREVARD, NC 28712
General Acute Care Hospital (Critical Access)
260 HOSPITAL DR
BREVARD, NC 28712
Emergency Medicine
260 HOSPITAL DR
BREVARD, NC 28712
Clinic/Center (Emergency Care)
260 HOSPITAL DR
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.