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

NPI Status: Active since August 05, 2024

Contact Information

1200 PINE RUN DR
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-5730

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  • Organization
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance
  • CLIA Number: 34D2001616
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-22-2026

About UNC HEALTH SOUTHEASTERN - GCC

This page provides the complete NPI Profile along with additional information for Unc Health Southeastern - Gcc, an internist established in Lumberton, North Carolina operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1194555136 assigned on August 2024. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Unc Health Southeastern - Gcc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Unc Health Southeastern - Gcc. The authorized official of this NPI record is Charles Thomas Johnson (Director - Reimbursement)

NPI
1194555136
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
UNC HEALTH SOUTHEASTERN - GCC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1200 PINE RUN DR LUMBERTON, NC 28358
Location Phone
(910) 671-5730
Mailing Address
300 W 27TH ST LUMBERTON, NC 28358
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2024
Last Update Date
09-26-2024
Code Navigator

An internist like Unc Health Southeastern - Gcc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO

*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

CHARLES THOMAS JOHNSON

Authorized Official Title
DIRECTOR - REIMBURSEMENT
Authorized Official Phone
(910) 671-5083

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2001616
Facility Type
Community Clinic
Certificate Effective Date
August 23, 2024
Certificate Expiration Date
August 22, 2026
Laboratory Director
DR. JAMES BROWNIE MCLEOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Unc Health Southeastern - Gcc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UNC HEALTH SOUTHEASTERN - GCC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194555136, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 0 + 5 + 1 + 0 + 1 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1194555136.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Internal Medicine
1200 PINE RUN DR
LUMBERTON, NC 28358
Radiology (Radiation Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Nurse Practitioner
1200 PINE RUN DR
LUMBERTON, NC 28358
Physician Assistant (Surgical)
1200 PINE RUN DR
LUMBERTON, NC 28358
Physician Assistant
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Surgery (Surgical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Clinic/Center (Multi-Specialty)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194555136, enumerated as an "organization" on August 05, 2024.

The provider is located at 1200 PINE RUN DR LUMBERTON, NC 28358 and the phone number is (910) 671-5730.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.