UNC HEALTH SOUTHEASTERN - GCC
NPI 1194555136
Internal Medicine - Hematology & Oncology in Lumberton, NC

Active since August 05, 2024
1200 PINE RUN DR, LUMBERTON, NC 28358(910) 671-5730 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, Aug 5, 2024 (2 updates tracked since 2024).

About Unc Health Southeastern - Gcc NPPES

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

UNC HEALTH SOUTHEASTERN - GCC (NPI 1194555136) is a healthcare organization registered as a hematology & oncology in Lumberton, North Carolina and active in the NPI registry since August 2024. The organization lists Charles Thomas Johnson, Director - Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1194555136
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address1200 PINE RUN DRLumberton, NC 28358-2180
Mailing Address300 W 27th StLumberton, NC 28358-3075 · Fax (910) 671-5083
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonDirector - Reimbursement · (910) 671-5083
Enumeration DateAugust 5, 2024
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1194555136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1200 PINE RUN DR, Lumberton, NC 28358

Other Names 1

Doing Business AsUnc Health Southeastern - Gcc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Unc Health Southeastern - Gcc 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 Unc Health Southeastern - Gcc, which bills Medicare for the services they deliver. Of these, 2 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
Nurse Practitioner
NPI 1750971628
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5734
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1588893218
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5730
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1083611586
725 OAKRIDGE BLVD STE A3
Lumberton, NC 28358
(910) 738-1141
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1639183700
725 OAKRIDGE BLVD STE B2
Lumberton, NC 28358
(910) 671-0052
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1598752198
4900 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 739-8899
✔ PECOS✔ Accepts Medicare0.6 mi
Pulmonary Disease
NPI 1164785549
4760 INDEPENDENCE DR
Lumberton, NC 28358
(910) 738-9414
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1225303746
4303 LUDGATE ST
Lumberton, NC 28358
(910) 272-3030
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1669479606
400 LIBERTY HILL RD
Lumberton, NC 28358
(910) 739-3318
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1740926823
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare1.6 mi
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1770778573
300 W 27TH ST SUITE A
Lumberton, NC 28358
(910) 371-5001
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1144910308
300 W 27TH ST
Lumberton, NC 28358
(910) 322-9999
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1881067213
300 W 27TH ST
Lumberton, NC 28358
(678) 592-1863
✔ PECOS✔ Accepts Medicare1.9 mi
Diagnostic Radiology
NPI 1912943051
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1912566241
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1558055541
395 W 27TH ST
Lumberton, NC 28358
(910) 735-7551
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1528626520
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.9 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 1194555136. It was assigned to this organization in the NPPES registry on August 5, 2024. The provider is doing business as Unc Health Southeastern - Gcc.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 1200 Pine Run Dr, Lumberton, NC 28358. The listed phone number is (910) 671-5730.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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, 2 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 Blue Cross and Blue Shield of NC 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 September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.