SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1699266742
Internal Medicine in Lumberton, NC

Active since May 24, 2018
1200 PINE RUN DR, LUMBERTON, NC 28358(910) 671-5048(910) 671-5405 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2020, May 24, 2018 (2 updates tracked since 2018).

About Southeastern Regional Physician Services NPPES

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI 1699266742), doing business as Northstar Internal Medicine Clinic At Gibson Cancer Center, is a healthcare organization registered as an internal medicine in Lumberton, North Carolina and active in the NPI registry since May 2018. The organization lists Sara Beth Bradley, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1699266742
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address1200 PINE RUN DRLumberton, NC 28358-2180
Mailing AddressPo Box 749193Atlanta, GA 30374-9193 · (984) 974-4372
Fax(910) 671-5405
Organization SubpartNo
Authorized OfficialSara Beth BradleyVp/cfo · (910) 671-5297
Enumeration DateMay 24, 2018
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1699266742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1200 PINE RUN DR, Lumberton, NC 28358

Other Names 1

Doing Business AsNorthstar Internal Medicine Clinic At Gibson Cancer Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Internal Medicine
1200 PINE RUN DR
LUMBERTON, NC 28358
Radiology (Radiation Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Nurse Practitioner
1200 PINE RUN DR
LUMBERTON, NC 28358
Physician Assistant (Surgical)
1200 PINE RUN DR
LUMBERTON, NC 28358
Physician Assistant
1200 PINE RUN DR
LUMBERTON, NC 28358
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699266742, enumerated as an "organization" on May 24, 2018.

The provider is located at 1200 PINE RUN DR LUMBERTON, NC 28358 and the phone number is (910) 671-5048.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Florida Blue. Please consult your insurance carrier or call the provider to verify.