SOUTHEASTERN REGIONAL MEDICAL CENTER
NPI 1245939651
Nurse Practitioner in Lumberton, NC
About Southeastern Regional Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI 1245939651), doing business as Srmc Ip Diabetes & Endocrinology Care, is a healthcare organization registered as a nurse practitioner in Lumberton, North Carolina and active in the NPI registry since February 2023. The organization lists Sara B Bradley, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeastern Regional Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
66Medicare enrollment records show 66 clinicians reassign Medicare billing to Southeastern Regional Medical Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 66Source: 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 1245939651. It was assigned to this organization in the NPPES registry on February 24, 2023. The provider is doing business as SRMC IP Diabetes & Endocrinology Care.
Where is Southeastern Regional Medical Center located?
Southeastern Regional Medical Center is located at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5290.
What is Southeastern Regional Medical Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
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, 5 practice at this address and 20 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 February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southeastern Regional Medical Center · NPI 1245939651
Nurse Practitioner organization in Lumberton, North Carolina. Organization record, active in the CMS NPPES registry since February 24, 2023.
## Identity
- **NPI:** 1245939651 (Entity type: Organization)
- **Enumerated:** February 24, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** SRMC IP Diabetes & Endocrinology Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sara Bradley, VP/CFO
## Practice location
- **Address:** 300 W 27TH ST, Lumberton, NC 28358-3075
- **Phone:** (910) 671-5290 · **Fax:** (910) 671-8512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 66 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (21), Internal Medicine (11), Nurse Practitioner (11); 5 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1245939651/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245939651) · Data from the CMS NPPES public registry.