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Southeastern Regional Medical Center

Clinic/Center in Lumberton, NC · enumerated 2006 · authorized official C. Johnson, V. P. Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013975812

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Regional Medical Center
Other name <Unavail>
Practice address 4303 Ludgate St, Lumberton, NC, 28358
Phone (910) 671-5000
Fax (910) 671-5858
Enumeration date May 2, 2006
Last updated in NPPES Feb 24, 2016

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License H0064 (NC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License H0064 (NC) Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License H0064 (NC) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License HOO64 (NC) Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities · License H0064 (NC) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License H0064 (NC) Secondary

Authorized official

Name C. Johnson
Title V. P. Finance
Phone (910) 671-5090

Other identifiers

Identifier Type State Issuer
8300343Q Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southeastern Regional Medical Center located?
The practice location on file with NPPES is in Lumberton, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-02-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-24.