SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1376065854
Clinic/Center in Lumberton, NC

Active since July 17, 2017
2936 N ELM ST STE 102, LUMBERTON, NC 28358(910) 671-6619(910) 608-0487 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2021, Oct 8, 2020, Jul 17, 2017 (3 updates tracked since 2017).

About Southeastern Regional Physician Services NPPES

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI 1376065854), doing business as Southeastern Cardiology And Cardiovascular Clinic, is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Pembroke and lists Sara Beth Bradley, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1376065854
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address2936 N ELM ST STE 102Lumberton, NC 28358-2981
Mailing AddressPo Box 749193Atlanta, GA 30374-9193 · (984) 974-4372
Fax(910) 608-0487
Organization SubpartNo
Authorized OfficialSara Beth BradleyVp/cfo · (910) 671-5297
Enumeration DateJuly 17, 2017
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1376065854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2936 N ELM ST STE 102, Lumberton, NC 28358

Other Names 1

Doing Business AsSoutheastern Cardiology And Cardiovascular Clinic

Secondary Practice Location 1

Location 1812 Candy Park Rd Ste 5103Pembroke, NC 28372-9120 · Phone (910) 671-6619 · Fax (910) 608-0487

Accepted 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 Regional Physician Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

122

Medicare enrollment records show 122 clinicians reassign Medicare billing to Southeastern Regional Physician Services, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner31
Family Practice19
Cardiovascular Disease (Cardiology)17
General Surgery8
Obstetrics/Gynecology8
Certified Nurse Midwife (CNM)6
Internal Medicine5
Hospitalist4
13 other specialties24

Nearest to this location (20)

See all 122
Interventional Cardiology
NPI 1104302082
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023017514
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOSSame address
Nurse Practitioner
NPI 1235680398
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1114969433
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629363122
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215713581
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043096282
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1467455493
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932198702
2934 N ELM ST STE B1
Lumberton, NC 28358
(910) 272-9675
✔ PECOSSame address
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1831435494
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962127837
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1780895599
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1629028576
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1497481824
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1174218218
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.3 mi
Thoracic Surgery
NPI 1124108303
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS0.3 mi
Hospitalist
NPI 1538325642
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Nurse Midwife (CNM)
NPI 1083099568
4300 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 608-3078
✔ PECOS✔ Accepts Medicare0.9 mi
See all 122 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Southeastern Home Medical Equipment carries, from the Medicare DMEPOS supplier directory.

Southeastern Home Medical Equipment

DMEPOS supplier · Lumberton, NCOperated by Health Horizons Inc
✔

Accepts Medicare assignment

Southeastern Home Medical Equipment agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20608289
Medicare Participant SinceJanuary 1, 2002
Supplier Location2002 N Cedar St Ste ALumberton, NC 28358
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other Orthotic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Patient Lifts
Ceiling lifts, Slings
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1376065854. It was assigned to this organization in the NPPES registry on July 17, 2017. The provider is doing business as Southeastern Cardiology and Cardiovascular Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 2936 N Elm St Ste 102, Lumberton, NC 28358. The listed phone number is (910) 671-6619.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Southeastern Regional Physician Services enrolled in Medicare?

Yes. Southeastern Regional Physician Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Regional Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 21 Medicare specialties reassign their Medicare billing to Southeastern Regional Physician Services. 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 Nurse Practitioner (31), Family Practice (19) and Cardiovascular Disease (Cardiology) (17). Of these, 9 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southeastern Regional Physician Services accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Southeastern Home Medical Equipment accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 17 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.