SOUTHEASTERN LUMBERTON MEDICAL CLINIC
NPI 1710136981
Clinic/Center in Lumberton, NC
About Southeastern Lumberton Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN LUMBERTON MEDICAL CLINIC (NPI 1710136981) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since September 2008. The organization lists Charles Thomas Johnson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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 Lumberton Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
66Medicare enrollment records show 66 clinicians reassign Medicare billing to Southeastern Lumberton Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 66Source: 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 1710136981. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is doing business as Southeastern Lumberton Medical Clinic.
Where is Southeastern Regional Medical Center located?
Southeastern Regional Medical Center is located at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 738-9755.
What is Southeastern Regional Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
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, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeastern Regional Medical Center was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Southeastern Lumberton Medical Clinic · NPI 1710136981
Clinic/Center organization in Lumberton, North Carolina. Organization record, active in the CMS NPPES registry since September 12, 2008.
## Identity
- **NPI:** 1710136981 (Entity type: Organization)
- **Enumerated:** September 12, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Southeastern Regional Medical Center
- **Organization subpart:** No
- **Authorized official:** Charles Johnson, CFO
## Practice location
- **Address:** 395 W 27TH ST, Lumberton, NC 28358-3018
- **Phone:** (910) 738-9755 · **Fax:** (910) 738-3764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 66 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (21), Internal Medicine (11), Nurse Practitioner (11); 4 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1710136981/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2009
- **Other identifiers:** Other 020VY (NC); Medicare OSCAR/certification 235109A (NC); Medicare PIN 235109A (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1710136981) · Data from the CMS NPPES public registry.