SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1427282045
Clinic/Center - Multi-Specialty in Lumberton, NC

Active since May 11, 2009
2002 N CEDAR ST STE B, LUMBERTON, NC 28358(910) 272-3048(910) 738-3764 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2020, Sep 9, 2020 (2 updates tracked since 2020).

About Southeastern Regional Physician Services NPPES

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI 1427282045) is a healthcare organization registered as a multi-specialty in Lumberton, North Carolina and active in the NPI registry since May 2009. The organization lists Charles T. Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1427282045
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address2002 N CEDAR ST STE BLumberton, NC 28358-3926
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateMay 11, 2009
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1427282045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NC · H0064
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License H0064 (NC)
2002 N CEDAR ST STE B, Lumberton, NC 28358

Other Identifiers 40

Medicaid344638CNC
Medicaid344641CNC
Medicaid5914047NC
Medicaid5914050NC
Medicaid344639CNC
Medicaid344641ANC
Medicaid5914043NC
Medicaid5914048NC
Other022WRNC · Bcbs
Other022WTNC · Bcbs
Medicaid344647CNC
Medicaid348961CNC
Medicaid5913422NC
Medicaid5914044NC
Medicaid5914049NC
Medicaid5914051NC
Medicaid5917766NC
Other023R1NC · Bcbs
Medicaid344639ANC
Medicaid344642ANC
Medicaid348954ANC
Medicaid344642CNC
Medicaid5914045NC
Medicaid5917954NC
Other022WGNC · Bcbs
Other022WUNC · Bcbs
Other025F5NC · Bcbs
Medicaid344647ANC
Medicaid5918279NC
Medicaid5921524NC
Other022WPNC · Bcbs
Medicaid344638ANC
Medicaid348954CNC
Medicaid348961ANC
Medicaid5916164NC
Other022WNNC · Bcbs
Medicaid5914168NC
Medicaid5914429NC
Medicaid5917135NC
Medicaid5917396NC

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, 62 practice 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
General Surgery
NPI 1629028576
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1497481824
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1831435494
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1962127837
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1780895599
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1467455493
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1932198702
2934 N ELM ST STE B1
Lumberton, NC 28358
(910) 272-9675
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1215713581
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare0.6 mi
Interventional Cardiology
NPI 1104302082
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1023017514
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1114969433
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
Cardiovascular Disease (Cardiology)
NPI 1245235506
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1780681015
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.6 mi
Hospitalist
NPI 1538325642
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1174218218
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.7 mi
Thoracic Surgery
NPI 1124108303
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.7 mi
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS0.7 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.

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 1427282045. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 2002 N Cedar St Ste B, Lumberton, NC 28358. The listed phone number is (910) 272-3048.

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.

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

What insurance does Southeastern Regional Physician Services accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare 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 October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.