SOUTHEASTERN DERMATOLOGY, PA
NPI 1922043629
Dermatology in Lumberton, NC
About Southeastern Dermatology, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN DERMATOLOGY, PA (NPI 1922043629) is a healthcare organization registered as a dermatology in Lumberton, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 24, 2027 and lists Andrew Adam Hendricks, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 34D0245307
Southeastern Dermatology, PA · Lumberton, NCOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dermatology, PA's NPI number?
The NPI number for Southeastern Dermatology, PA is 1922043629. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is Southeastern Dermatology, PA located?
Southeastern Dermatology, PA is located at 4390 Fayetteville Rd, Lumberton, NC 28358. The listed phone number is (910) 738-7154.
What is Southeastern Dermatology, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Southeastern Dermatology, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 34D0245307) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeastern Dermatology, PA accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Southeastern Dermatology, 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 Dermatology, PA was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.