SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1013335009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013335009 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Other Organization Name | WOUND CARE PROFESSIONAL SERVICES |
| Practice Address |
103 W 27th St Lumberton NC 28358-3014 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9107383836 |
| Practice Fax Number | 9107383959 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | FORDHAM B BRITT (DIRECTOR) |
| Authorized Official Telephone | 9106715026 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | H0064 | NC | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Wound Care Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
| 1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
| 1407281082 | Southeastern Regional Physician Services | Clinic/Center | 4901 Dawn Dr Ste 3300, Lumberton, NC 28360-8288 | 2013-09-13 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
| 1336797349 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2019-09-03 |
| 1851950562 | Southeastern Regional Physician Services | Clinic/Center | 117 E Main St, Whiteville, NC 28472-4131 | 2019-06-07 |
| 1487113668 | Southeastern Regional Physician Services | Clinic/Center | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-03-18 |
| 1699266742 | Southeastern Regional Physician Services | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2018-05-24 |
| 1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
| Street Address |
103 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780831776 | Southeastern Regional Medical Center | Health Maintenance Organization | 103 W 27th St, Lumberton, NC 28358-3014 | 2008-08-21 |
| 1679800635 | Dennis O. Stuart, Pllc | Family Medicine | 103 W 27th St, Lumberton, NC 28358-3014 | 2009-11-12 |
| 1841527702 | James D. Mcleod, Md, Pllc | Family Medicine | 103 W 27th St, Lumberton, NC 28358-3014 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780831776 | Southeastern Regional Medical Center | Health Maintenance Organization | 103 W 27th St, Lumberton, NC 28358-3014 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051631 | Jackson Home for Veterans | Health Maintenance Organization | 2633 Juniper Dr, Charlotte, NC 28269-4004 | 2020-10-20 |
| 1073046033 | Zz Home Care, LLC | Health Maintenance Organization | 928 S Main St, Burlington, NC 27215-5757 | 2017-04-06 |
| 1609325653 | Nc Wellness | Health Maintenance Organization | 511 Dr Martin Luther King Jr Dr N, Ahoskie, NC 27910-7615 | 2016-09-30 |
| 1518414697 | Biltmore Housing Inc | Health Maintenance Organization | 236 Lees Creek Road Unit D, Asheville, NC 28806-5104 | 2016-09-06 |
| 1699136713 | Telernow | Health Maintenance Organization | 5820 Loch Raven Pointe Loop, Unit 106, Raleigh, NC 27604-9609 | 2016-03-17 |
| 1073973053 | Kamley Peralte | Health Maintenance Organization | 6421 Virgilia Ct, Raleigh, NC 27616-3170 | 2016-03-03 |
| 1982071080 | Boe Healthcare Consulting | Health Maintenance Organization | 6162 Balsam Fir Dr, Charlotte, NC 28212-4502 | 2015-08-25 |
| 1235505272 | Quality Healthcare Systems, Inc | Health Maintenance Organization | 284 N Emily Ct, High Point, NC 27265-7666 | 2015-08-13 |
| 1538544424 | Changing Famlies & Lives | Health Maintenance Organization | 8517 Galena View Dr, Charlotte, NC 28269-7179 | 2015-07-21 |
| 1851774715 | Video Therapy | Health Maintenance Organization | 4208 Six Forks Rd Ste 1000, Raleigh, NC 27609-5738 | 2015-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.