SRMC-HOSPICE PROFESSIONAL SERVICES
NPI 1215173331
Hospice, Inpatient in Lumberton, NC

Active since December 18, 2008
1100 PINE RUN DR, LUMBERTON, NC 28358(910) 671-1488(910) 738-3764 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Srmc-hospice Professional Services NPPES

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

SRMC-HOSPICE PROFESSIONAL SERVICES (NPI 1215173331) is a healthcare organization registered as a hospice, inpatient in Lumberton, North Carolina and active in the NPI registry since December 2008. The organization lists Charles T. Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215173331
Entity TypeOrganization
Primary Taxonomy315D00000X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address1100 PINE RUN DRLumberton, NC 28358-2118
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · 91067155090
Enumeration DateDecember 18, 2008
Last NPPES UpdateApril 21, 2009
✔ NPI 1215173331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities
Taxonomy Code315D00000X
License✔ Licensed in NC · H0064
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
1100 PINE RUN DR, Lumberton, NC 28358

Other Names 1

Doing Business AsSrmc-hospice Professional Services

Other Identifiers 2

Medicare PIN235109VNC
Medicaid5950730NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srmc-hospice Professional Services 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 Srmc-Hospice Professional Services, which bills Medicare for the services they deliver. Of these, 20 practice 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 Medicare0.1 mi
Medical Oncology
NPI 1588893218
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5730
✔ PECOS0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1083611586
725 OAKRIDGE BLVD STE A3
Lumberton, NC 28358
(910) 738-1141
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1639183700
725 OAKRIDGE BLVD STE B2
Lumberton, NC 28358
(910) 671-0052
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1598752198
4900 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 739-8899
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1225303746
4303 LUDGATE ST
Lumberton, NC 28358
(910) 272-3030
✔ PECOS✔ Accepts Medicare0.6 mi
Pulmonary Disease
NPI 1164785549
4760 INDEPENDENCE DR
Lumberton, NC 28358
(910) 738-9414
✔ PECOS✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1669479606
400 LIBERTY HILL RD
Lumberton, NC 28358
(910) 739-3318
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1740926823
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare1.5 mi
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare1.6 mi
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1770778573
300 W 27TH ST SUITE A
Lumberton, NC 28358
(910) 371-5001
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1144910308
300 W 27TH ST
Lumberton, NC 28358
(910) 322-9999
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1881067213
300 W 27TH ST
Lumberton, NC 28358
(678) 592-1863
✔ PECOS✔ Accepts Medicare1.8 mi
Diagnostic Radiology
NPI 1912943051
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1912566241
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1558055541
395 W 27TH ST
Lumberton, NC 28358
(910) 735-7551
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1528626520
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare1.8 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 1215173331. It was assigned to this organization in the NPPES registry on December 18, 2008. The provider is doing business as Srmc-Hospice Professional Services.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 1100 Pine Run Dr, Lumberton, NC 28358. The listed phone number is (910) 671-1488.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

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

When was this NPI record last updated?

The NPPES record for Southeastern Regional Medical Center was last updated on April 21, 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.