Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southeastern Regional Medical Center

Q: What is the NPI number for Southeastern Regional Medical Center?

The NPI for Southeastern Regional Medical Center is 1063779114, a Type 2 (organization) record in the CMS NPPES registry.

Urgent Care Clinic/Center in Lumberton, NC · enumerated 2012 · authorized official Charles Johnson, Vp.

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

National Provider Identifier

1063779114

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Registry record

Entity type Organization (Type 2)

Legal business name Southeastern Regional Medical Center

Other name <Unavail>

Practice address 2934 N. El M St., Suite B, Lumberton, NC, 28358

Phone (910) 272-1175

Fax (910) 272-1176

Enumeration date Apr 13, 2012

Last updated in NPPES Apr 13, 2012

Taxonomy & classification

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License H0064 (NC) Primary

Authorized official

Name Charles Johnson

Title Vp

Phone (910) 671-5090

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Southeastern Regional Medical Center?

The NPI for Southeastern Regional Medical Center is 1063779114, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Southeastern Regional Medical Center?

NPPES lists Charles Johnson (Vp) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-13.