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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1265165518
Clinic/Center - Multi-Specialty in Lumberton, NC

Active since July 05, 2022
1200 PINE RUN DR, LUMBERTON, NC 28358(910) 671-5048(910) 671-5405 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Regional Physician Services NPPES

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI 1265165518), doing business as Southeastern Multi-specialty Clinic At Gibson Cancer Center, is a healthcare organization registered as a multi-specialty in Lumberton, North Carolina and active in the NPI registry since July 2022. The organization lists Sara Beth Bradley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265165518
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address1200 PINE RUN DRLumberton, NC 28358-2180
Mailing AddressPo Box 749193Atlanta, GA 30374-9193 · (984) 974-4372
Phone(910) 671-5048
Fax(910) 671-5405
Organization SubpartNo
Authorized OfficialSara Beth BradleyCfo · (910) 671-5297
Enumeration DateJuly 5, 2022
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1265165518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1200 PINE RUN DR, Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutheastern Multi-specialty Clinic At Gibson Cancer Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE LYN GAINES PA
Physician Assistant (Surgical)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
SOUTHEASTERN REGIONAL MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (919) 684-8111
THOMAS LORENZO WALDEN JR. M.D.
Radiology (Radiation Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
WINDY DOTSON CHRISTY PA-C
Physician Assistant
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (919) 744-0633
TREVOR AUGUSTUS JOLLY M.D.
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
DR. EVERETT C. RIBAKOVE M.D.
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730

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 Physician Services's NPI number?

The NPI number for Southeastern Regional Physician Services is 1265165518. It was assigned to this organization in the NPPES registry on July 5, 2022. The provider is doing business as Southeastern Multi-Specialty Clinic at Gibson Cancer Center.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 1200 Pine Run Dr, Lumberton, NC 28358. The listed phone number is (910) 671-5048.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Southeastern Regional Physician Services accept?

Health plans from Blue Cross and Blue Shield of NC list Southeastern Regional Physician Services 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 Physician Services was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.