SOUTHEASTERN GASTROENTEROLOGY ENDOSCOPY CENTER, PA
NPI 1588720072
Clinic/Center - Ambulatory Surgical in Lumberton, NC

Active since December 29, 2006CLIA 34D0943381 · Waiver
101 W 27TH ST, LUMBERTON, NC 28358(910) 739-0770(910) 739-4102 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Gastroenterology Endoscopy Center, Pa NPPES

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

SOUTHEASTERN GASTROENTEROLOGY ENDOSCOPY CENTER, PA (NPI 1588720072) is a healthcare organization registered as an ambulatory surgical in Lumberton, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Santhosh Augustine, President, as its authorized official.

NPPES Registry Identity

NPI1588720072
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHEASTERN GASTROENTEROLOGY ENDOSCOPY CENTER, PA
Location Address101 W 27TH STLumberton, NC 28358-3014
Mailing Address101 W 27th StLumberton, NC 28358-3014 · (910) 739-0770 · Fax (910) 739-4102
Fax(910) 739-4102
Organization SubpartNo
Authorized OfficialSanthosh AugustinePresident · (910) 739-0770
Enumeration DateDecember 29, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1588720072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NC · 138988
101 W 27TH ST, Lumberton, NC 28358

Other Identifiers 3

Other02BBDNC · Bcbs
Medicare PIN2381198NC
Medicaid3409832NC

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0943381

Southeastern Gastroenterology · Lumberton, NC
Active · expires May 26, 2027
CLIA Number34D0943381
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorSanthosh Augustine MD
Laboratory Phone(910) 739-0770
Laboratory LocationSoutheastern Gastroenterology101 West 27th Street, Lumberton, NC 28358
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
101 W 27TH ST
LUMBERTON, NC 28358
Clinic/Center (Medical Specialty)
101 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
101 W 27TH ST
LUMBERTON, NC 28358

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 Gastroenterology Endoscopy Center, PA's NPI number?

The NPI number for Southeastern Gastroenterology Endoscopy Center, PA is 1588720072. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Southeastern Gastroenterology Endoscopy Center, PA located?

Southeastern Gastroenterology Endoscopy Center, PA is located at 101 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 739-0770.

What is Southeastern Gastroenterology Endoscopy Center, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Southeastern Gastroenterology Endoscopy Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0943381) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Gastroenterology Endoscopy Center, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Southeastern Gastroenterology Endoscopy Center, PA 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 Gastroenterology Endoscopy Center, PA was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.