SOUTHEASTERN HEALTH ENDOCRINOLOGY CLINIC
NPI 1780202093
Clinic/Center in Lumberton, NC
About Southeastern Health Endocrinology Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN HEALTH ENDOCRINOLOGY CLINIC (NPI 1780202093) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since July 2020. The organization lists Charles Thomas Johnson, Cro, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Health Endocrinology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
122Medicare enrollment records show 122 clinicians reassign Medicare billing to Southeastern Health Endocrinology Clinic, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 122Source: 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 Physician Services's NPI number?
The NPI number for Southeastern Regional Physician Services is 1780202093. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Southeastern Health Endocrinology Clinic.
Where is Southeastern Regional Physician Services located?
Southeastern Regional Physician Services is located at 4901 Dawn Dr Ste 3300, Lumberton, NC 28360. The listed phone number is (910) 671-5410.
What is Southeastern Regional Physician Services's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Southeastern Regional Physician Services enrolled in Medicare?
Yes. Southeastern Regional Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Regional Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 21 Medicare specialties reassign their Medicare billing to Southeastern Regional Physician Services. 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 Nurse Practitioner (31), Family Practice (19) and Cardiovascular Disease (Cardiology) (17). Of these, 18 practice at this address and 62 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 Physician Services was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Health Endocrinology Clinic · NPI 1780202093
Clinic/Center organization in Lumberton, North Carolina. Organization record, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1780202093 (Entity type: Organization)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Southeastern Regional Physician Services
- **Organization subpart:** No
- **Authorized official:** Charles Johnson, CRO
## Practice location
- **Address:** 4901 DAWN DR STE 3300, Lumberton, NC 28360-8288
- **Phone:** (910) 671-5410 · **Fax:** (910) 735-8695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 122 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (19), Cardiovascular Disease (Cardiology) (17); 18 practice at this address and 62 within 10 miles; [full list](https://npiprofile.com/npi/1780202093/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780202093) · Data from the CMS NPPES public registry.