SOUTHEASTERN REGIONAL MEDICAL CENTER
NPI 1568761963
Pharmacy in Lumberton, NC

Q: What is Southeastern Regional Medical Center's NPI number?

The NPI number for Southeastern Regional Medical Center is 1568761963. It was assigned to this organization in the NPPES registry on March 24, 2011. The provider is doing business as Southeastern Pharmacy.

Q: What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since March 24, 2011

300 W 27TH ST, LUMBERTON, NC 28358(910) 735-8806(910) 735-8803 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Southeastern Regional Medical Center NPPES

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

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI 1568761963), doing business as Southeastern Pharmacy, is a healthcare organization registered as a pharmacy in Lumberton, North Carolina and active in the NPI registry since March 2011. The organization lists Jeffrey Lee Edge, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1568761963

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER

Location Address300 W 27TH STLumberton, NC 28358-3075

Mailing Address300 W 27th St.Lumberton, NC 28358-3098 · (910) 735-8806 · Fax (910) 735-8803

Phone(910) 735-8806

Fax(910) 735-8803

Organization SubpartNo

Authorized OfficialJeffrey Lee EdgePharmacy Supervisor · (910) 735-8806

Enumeration DateMarch 24, 2011

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1568761963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NC · 10389

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

300 W 27TH ST, Lumberton, NC 28358

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Other Names 1

Doing Business AsSoutheastern Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.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 Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare 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

Diagnostic Radiology21

Internal Medicine11

Nurse Practitioner11

Pediatric Medicine5

General Surgery3

Psychiatry3

Family Practice2

Hospitalist2

6 other specialties8

Nearest to this location (20)

See all 66

Victoria Harness, D.O.

Pediatric Medicine

NPI 1952393225

300 W 27TH ST
Lumberton, NC 28358

(910) 671-5000

✔ PECOSSame address

Jennifer Lamb, FNP

Nurse Practitioner

NPI 1770778573

300 W 27TH ST SUITE A
Lumberton, NC 28358

(910) 371-5001

✔ PECOS✔ Accepts MedicareSame address

Alexandra Merrell, APRN

Nurse Practitioner

NPI 1144910308

300 W 27TH ST
Lumberton, NC 28358

(910) 322-9999

✔ PECOS✔ Accepts MedicareSame address

Kasie Moore, DNP, FNP-BC

Nurse Practitioner

NPI 1881067213

300 W 27TH ST
Lumberton, NC 28358

(678) 592-1863

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Zapawa, MD

Diagnostic Radiology

NPI 1912943051

300 W 27TH ST
Lumberton, NC 28358

(910) 671-5000

✔ PECOS✔ Accepts MedicareSame address

Charles Beasley, M.D.

Internal Medicine

NPI 1043217656

395 W 27TH ST
Lumberton, NC 28358

(910) 739-7551

✔ PECOS✔ Accepts Medicare0.1 mi

Jason Hance, DO

Internal Medicine

NPI 1528626520

395 W 27TH ST
Lumberton, NC 28358

(910) 739-7551

✔ PECOS✔ Accepts Medicare0.1 mi

Mustafa Kareem, MD

Internal Medicine

NPI 1912566241

395 W 27TH ST
Lumberton, NC 28358

(910) 739-7551

✔ PECOS✔ Accepts Medicare0.1 mi

Durga Lohana, MD

Internal Medicine

NPI 1558055541

395 W 27TH ST
Lumberton, NC 28358

(910) 735-7551

✔ PECOS✔ Accepts Medicare0.1 mi

Jason Davis, M.D.

General Surgery

NPI 1285809475

2934 N ELM ST STE E
Lumberton, NC 28358

(910) 739-0022

✔ PECOS✔ Accepts Medicare0.3 mi

Joseph Roberts, M.D.

Family Practice

NPI 1518955269

3005 N ELM ST
Lumberton, NC 28358

(910) 738-7789

✔ PECOS✔ Accepts Medicare0.3 mi

Taren Hunt

Nurse Practitioner

NPI 1740926823

2934 N ELM ST STE B
Lumberton, NC 28358

(910) 272-1175

✔ PECOS✔ Accepts Medicare0.3 mi

Allison Jacobs, FNP

Nurse Practitioner

NPI 1225303746

4303 LUDGATE ST
Lumberton, NC 28358

(910) 272-3030

✔ PECOS✔ Accepts Medicare1.1 mi

Ronnie Mantilla, M.D.

Pulmonary Disease

NPI 1164785549

4760 INDEPENDENCE DR
Lumberton, NC 28358

(910) 738-9414

✔ PECOS✔ Accepts Medicare1.7 mi

Godfrey Onime, M.D.

Internal Medicine

NPI 1598752198

4900 FAYETTEVILLE RD
Lumberton, NC 28358

(910) 739-8899

✔ PECOS✔ Accepts Medicare1.8 mi

Sadananda Hegde, M.D.

Cardiovascular Disease (Cardiology)

NPI 1083611586

725 OAKRIDGE BLVD STE A3
Lumberton, NC 28358

(910) 738-1141

✔ PECOS✔ Accepts Medicare1.8 mi

James Mcleod, M.D.

Family Practice

NPI 1639183700

725 OAKRIDGE BLVD STE B2
Lumberton, NC 28358

(910) 671-0052

✔ PECOS✔ Accepts Medicare1.8 mi

Karen Robinson, MD

Pediatric Medicine

NPI 1669479606

400 LIBERTY HILL RD
Lumberton, NC 28358

(910) 739-3318

✔ PECOS1.8 mi

Crystal Goins, FNP

Nurse Practitioner

NPI 1750971628

1200 PINE RUN DR
Lumberton, NC 28358

(910) 671-5734

✔ PECOS✔ Accepts Medicare1.9 mi

Trevor Jolly, M.D.

Medical Oncology

NPI 1588893218

1200 PINE RUN DR
Lumberton, NC 28358

(910) 671-5730

✔ PECOS1.9 mi

See all 66 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 Medical Center's NPI number?

The NPI number for Southeastern Regional Medical Center is 1568761963. It was assigned to this organization in the NPPES registry on March 24, 2011. The provider is doing business as Southeastern Pharmacy.

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) 735-8806.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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.

What insurance does Southeastern Regional Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 33 other insurers list Southeastern Regional Medical Center 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 Medical Center was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.