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SOUTHEASTERN PATHOLOGY ASSOCIATES PA
NPI 1609825710
Pathology - Anatomic Pathology & Clinical Pathology in Lumberton, NC

Active since May 08, 2006
300 W 27TH STREET, LUMBERTON, NC 28359(910) 671-5189(910) 671-5085 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeastern Pathology Associates Pa NPPES

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

SOUTHEASTERN PATHOLOGY ASSOCIATES PA (NPI 1609825710) is a healthcare organization registered as an anatomic pathology & clinical pathology in Lumberton, North Carolina and active in the NPI registry since May 2006. The organization lists Richard Dewitt Johnson, President Spa Pa, as its authorized official.

NPPES Registry Identity

NPI1609825710
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTHEASTERN PATHOLOGY ASSOCIATES PA
Location Address300 W 27TH STREETLumberton, NC 28359
Mailing AddressPo Box 847Lumberton, NC 28359 · (910) 738-1921
Phone(910) 671-5189
Fax(910) 671-5085
Organization SubpartNo
Authorized OfficialRichard Dewitt JohnsonPresident Spa Pa · (910) 671-5189
Enumeration DateMay 8, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1609825710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NC · 9300163
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
300 W 27TH STREET, Lumberton, NC 28359
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Other Identifiers 5

Other02710NC · Blue Cross Blue Shield
Medicare ID-Type Unspecified204258NC
Medicare UPING35082
Medicaid8902710NC
Medicare PIN2231727

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Pathology Associates Pa 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 Pathology Associates PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Johnson, M.D.
Pathology
NPI 1306895719
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare2.0 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 Pathology Associates PA's NPI number?

The NPI number for Southeastern Pathology Associates PA is 1609825710. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Southeastern Pathology Associates PA located?

Southeastern Pathology Associates PA is located at 300 W 27th Street, Lumberton, NC 28359. The listed phone number is (910) 671-5189.

What is Southeastern Pathology Associates PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Southeastern Pathology Associates PA enrolled in Medicare?

Yes. Southeastern Pathology Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Pathology Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Southeastern Pathology Associates PA. 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 Pathology Associates PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeastern Pathology Associates 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 Pathology Associates PA was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.