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THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK
NPI 1972911030
Clinic/Center - Ambulatory Surgical in Lumberton, NC

Active since July 31, 2014CLIA 34D2084521 · Waiver
4901 DAWN DR, SUITE 1100, LUMBERTON, NC 28360(910) 887-2361(910) 887-2370 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Surgery Center At Southeastern Health Park NPPES

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

THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK (NPI 1972911030) is a healthcare organization registered as an ambulatory surgical in Lumberton, North Carolina and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Paula Revels Locklear, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972911030
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHEASTERN AMBULATORY SURGERY CENTER, LLC
Location Address4901 DAWN DR, SUITE 1100Lumberton, NC 28360-8207
Mailing Address4901 Dawn Dr, Suite 1100Lumberton, NC 28360-8207 · (910) 887-2361 · Fax (910) 887-2370
Phone(910) 887-2361
Fax(910) 887-2370
Organization SubpartNo
Authorized OfficialPaula Revels LocklearBusiness Office Manager · (910) 887-2361
Enumeration DateJuly 31, 2014
Last NPPES UpdateOctober 9, 2014
✔ NPI 1972911030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4901 DAWN DR, Lumberton, NC 28360
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Other Names 1

Doing Business AsThe Surgery Center At Southeastern Health Park

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 Waiver 34D2084521

The Surgery Center At Southeastern Health Park · Lumberton, NC
Active · expires Sep 23, 2026
CLIA Number34D2084521
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorMichael Kidd
Laboratory Phone(910) 272-1425
Laboratory LocationThe Surgery Center At Southeastern Health Park4901 Dawn Drive, Lumberton, NC 28360
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA BAYS ANESTHESIA, P.C.
Anesthesiology
4901 DAWN DR, SUITE 1100
LUMBERTON, NC 28360
Robeson County (910) 887-2361
SOUTHEASTERN REGIONAL MEDICAL CENTER
General Acute Care Hospital
4901 DAWN DR
LUMBERTON, NC 28360
Robeson County (910) 234-4727
BRENDON MICHAEL JONSSON MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
4901 DAWN DR, SUITE 2300
LUMBERTON, NC 28360
Robeson County (910) 738-1065
THOMAS FRANCIS FLORIAN M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
4901 DAWN DR, SUITE 3300
LUMBERTON, NC 28360
Robeson County (910) 671-9298
RIYAZ H JINNAH MD
Orthopaedic Surgery
4901 DAWN DR, SUITE 2300
LUMBERTON, NC 28360
Robeson County (910) 738-1065
DR. DAVID ARTHUR DALSIMER D.O.
Orthopaedic Surgery (Hand Surgery)
4901 DAWN DR, SUITE 2300
LUMBERTON, NC 28360
Robeson County (910) 738-1065
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
4901 DAWN DR, 3RD FLOOR SUITE 1
LUMBERTON, NC 28360
Robeson County (910) 735-2830
SOUTHEASTERN HEALTH PHYSICIAN SERVICES
Clinic/Center
4901 DAWN DR, SUITE 3400
LUMBERTON, NC 28360
Robeson County (910) 671-4205

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 Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Southeastern Ambulatory Surgery Center, LLC is 1972911030. It was assigned to this organization in the NPPES registry on July 31, 2014. The provider is doing business as The Surgery Center At Southeastern Health Park.

Where is Southeastern Ambulatory Surgery Center, LLC located?

Southeastern Ambulatory Surgery Center, LLC is located at 4901 Dawn Dr Suite 1100, Lumberton, NC 28360. The listed phone number is (910) 887-2361.

What is Southeastern Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Southeastern Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2084521) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Ambulatory Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Southeastern Ambulatory Surgery Center, LLC 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 Ambulatory Surgery Center, LLC was last updated on October 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.