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JOHNSON MEDICAL CLINIC
NPI 1972595601
Clinic/Center - Rural Health in Red Springs, NC

Active since August 18, 2005
222 S MAIN ST, RED SPRINGS, NC 28377(910) 843-4576(910) 843-2301 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnson Medical Clinic NPPES

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

JOHNSON MEDICAL CLINIC (NPI 1972595601) is a healthcare organization registered as a rural health in Red Springs, North Carolina and active in the NPI registry since August 2005. The organization lists Charles Thomas Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972595601
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address222 S MAIN STRed Springs, NC 28377-1622
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 843-4576
Fax(910) 843-2301
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonCfo · (910) 671-5090
Enumeration DateAugust 18, 2005
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1972595601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in NC · H0064
222 S MAIN ST, Red Springs, NC 28377
Open in Google Maps ↗

Other Names 1

Doing Business AsJohnson Medical Clinic

Other Identifiers 5

Medicare PIN343415NC
Medicaid343415ANC
Other0185KNC · Blue Cross Blue Shield
Medicaid343415CNC
Medicare OSCAR/certification343415NC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnson Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Johnson Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Diagnostic Radiology21
Internal Medicine11
Nurse Practitioner11
Pediatric Medicine5
General Surgery3
Psychiatry3
Family Practice2
Hospitalist2
6 other specialties8

Nearest to this location (20)

See all 66
Karen Robinson, MD
Pediatric Medicine
NPI 1669479606
400 LIBERTY HILL RD
Lumberton, NC 28358
(910) 739-3318
✔ PECOS15 mi
Ronnie Mantilla, M.D.
Pulmonary Disease
NPI 1164785549
4760 INDEPENDENCE DR
Lumberton, NC 28358
(910) 738-9414
✔ PECOS✔ Accepts Medicare15 mi
Godfrey Onime, M.D.
Internal Medicine
NPI 1598752198
4900 FAYETTEVILLE RD
Lumberton, NC 28358
(910) 739-8899
✔ PECOS✔ Accepts Medicare15 mi
Sadananda Hegde, M.D.
Cardiovascular Disease (Cardiology)
NPI 1083611586
725 OAKRIDGE BLVD STE A3
Lumberton, NC 28358
(910) 738-1141
✔ PECOS✔ Accepts Medicare15 mi
James Mcleod, M.D.
Family Practice
NPI 1639183700
725 OAKRIDGE BLVD STE B2
Lumberton, NC 28358
(910) 671-0052
✔ PECOS✔ Accepts Medicare15 mi
Allison Jacobs, FNP
Nurse Practitioner
NPI 1225303746
4303 LUDGATE ST
Lumberton, NC 28358
(910) 272-3030
✔ PECOS✔ Accepts Medicare15 mi
Crystal Goins, FNP
Nurse Practitioner
NPI 1750971628
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5734
✔ PECOS✔ Accepts Medicare15 mi
Trevor Jolly, M.D.
Medical Oncology
NPI 1588893218
1200 PINE RUN DR
Lumberton, NC 28358
(910) 671-5730
✔ PECOS15 mi
Victoria Harness, D.O.
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS16 mi
Jennifer Lamb, FNP
Nurse Practitioner
NPI 1770778573
300 W 27TH ST SUITE A
Lumberton, NC 28358
(910) 371-5001
✔ PECOS✔ Accepts Medicare16 mi
Alexandra Merrell, APRN
Nurse Practitioner
NPI 1144910308
300 W 27TH ST
Lumberton, NC 28358
(910) 322-9999
✔ PECOS✔ Accepts Medicare16 mi
Kasie Moore, DNP, FNP-BC
Nurse Practitioner
NPI 1881067213
300 W 27TH ST
Lumberton, NC 28358
(678) 592-1863
✔ PECOS✔ Accepts Medicare16 mi
Jeffrey Zapawa, MD
Diagnostic Radiology
NPI 1912943051
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare16 mi
Joseph Roberts, M.D.
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare16 mi
Charles Beasley, M.D.
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare16 mi
Jason Hance, DO
Internal Medicine
NPI 1528626520
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare16 mi
Jason Davis, M.D.
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare16 mi
Mustafa Kareem, MD
Internal Medicine
NPI 1912566241
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts Medicare16 mi
Durga Lohana, MD
Internal Medicine
NPI 1558055541
395 W 27TH ST
Lumberton, NC 28358
(910) 735-7551
✔ PECOS✔ Accepts Medicare16 mi
Sheryl Jordan, M.D.
Diagnostic Radiology
NPI 1053314609
1301 MEDICAL DR
Fayetteville, NC 28304
(910) 486-5700
✔ PECOS21 mi
See all 66 clinicians

Source: 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 1972595601. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider is doing business as Johnson Medical Clinic.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 222 S Main St, Red Springs, NC 28377. The listed phone number is (910) 843-4576.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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). 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 January 27, 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.