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SOUTHEASTERN MEDICAL ASSOCIATES, LLC
NPI 1316708480
Internal Medicine in Rock Hill, SC

Active since January 17, 2024
1795 DR FRANK GASTON BLVD, ROCK HILL, SC 29732(839) 400-4440 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeastern Medical Associates, Llc NPPES

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

SOUTHEASTERN MEDICAL ASSOCIATES, LLC (NPI 1316708480) is a healthcare organization registered as an internal medicine in Rock Hill, South Carolina and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Fort Mill and lists Javed Firoz Patka, Owner, as its authorized official.

NPPES Registry Identity

NPI1316708480
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEASTERN MEDICAL ASSOCIATES, LLC
Location Address1795 DR FRANK GASTON BLVDRock Hill, SC 29732-1190
Mailing Address1750 Highway 160 W Ste 101-239Fort Mill, SC 29708-8009 · (839) 400-4440
Phone(839) 400-4440
Organization SubpartNo
Authorized OfficialJaved Firoz PatkaOwner · (839) 400-4440
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 14, 2024
✔ NPI 1316708480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1795 DR FRANK GASTON BLVD, Rock Hill, SC 29732
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Secondary Practice Location 1

Location 12260 Vista RdFort MIll, SC 29732 · Phone (839) 400-4440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Southeastern Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeastern Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Javed Patka, D.O.
Internal Medicine
NPI 1033557806
2260 VISTA RD
Fort Mill, SC 29708
(839) 400-2400
✔ PECOS✔ Accepts Medicare8.1 mi

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 Medical Associates, LLC's NPI number?

The NPI number for Southeastern Medical Associates, LLC is 1316708480. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Southeastern Medical Associates, LLC located?

Southeastern Medical Associates, LLC is located at 1795 Dr Frank Gaston Blvd, Rock Hill, SC 29732. The listed phone number is (839) 400-4440.

What is Southeastern Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southeastern Medical Associates, LLC enrolled in Medicare?

Yes. Southeastern Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Southeastern Medical Associates, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Medical Associates, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Southeastern Medical Associates, LLC 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 Medical Associates, LLC was last updated on January 17, 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.