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GIBSON CC
NPI 1912337684
Surgery - Surgical Oncology in Lumberton, NC

Active since November 18, 2013
1200 PINE RUN DR, LUMBERTON, NC 28358(910) 737-6418(910) 671-5732 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gibson Cc NPPES

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

GIBSON CC (NPI 1912337684) is a healthcare organization registered as a surgical oncology in Lumberton, North Carolina and active in the NPI registry since November 2013. The organization lists Charles Thomas Johnson, Chief Reimbursment Officer, as its authorized official.

NPPES Registry Identity

NPI1912337684
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address1200 PINE RUN DRLumberton, NC 28358-2180
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 671-5290 · Fax (910) 671-8515
Phone(910) 737-6418
Fax(910) 671-5732
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonChief Reimbursment Officer · (910) 671-5083
Enumeration DateNovember 18, 2013
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1912337684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedInternal MedicineTaxonomy 207R00000X
1200 PINE RUN DR, Lumberton, NC 28358
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Other Names 1

Doing Business AsGibson Cc

Other Identifiers 1

Medicaid1912337684NC

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

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.

CATHERINE LYN GAINES PA
Physician Assistant (Surgical)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
SOUTHEASTERN REGIONAL MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Clinic/Center (Multi-Specialty)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5048
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (919) 684-8111
THOMAS LORENZO WALDEN JR. M.D.
Radiology (Radiation Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730
WINDY DOTSON CHRISTY PA-C
Physician Assistant
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (919) 744-0633
TREVOR AUGUSTUS JOLLY M.D.
Internal Medicine (Medical Oncology)
1200 PINE RUN DR
LUMBERTON, NC 28358
Robeson County (910) 671-5730

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 1912337684. It was assigned to this organization in the NPPES registry on November 18, 2013. The provider is doing business as Gibson Cc.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 1200 Pine Run Dr, Lumberton, NC 28358. The listed phone number is (910) 737-6418.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Medical Center was last updated on September 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.