Jeffrey D Seder, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35196 Issued in NC

Practice address

20 Medical Campus Dr NW Ste 203
Supply, NC 28462-4094

Phone

(910) 755-7192

Fax

(910) 755-7194

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Dream Provider Care ServicesGroup PAC ID 3971662636, 5 clinicians

Brunswick Community Hospital LLCGroup PAC ID 9335150895, 33 clinicians

CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
• Scottish Pines Rehabilitation and Nursing Center Nursing home, Laurinburg, NC, CCN 345383
• Pembroke Center Nursing home, Pembroke, NC, CCN 345409

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.seder.1@13056.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Redwood LTC Group, LLC

  • Skilled Nursing Facility
  • Wilmington, NC
  • NPI 1396771515

  Adp of the SNF

  CMS ownership
• Sunbridge Retirement Care Associates LLC

  • Skilled Nursing Facility
  • Pembroke, NC
  • NPI 1194779504

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brunswick Community Hospital, LLC

  • Certified Registered Nurse Anesthetist
  • Bolivia, NC
  • NPI 1669725198

  NC

  Medicare reassignment Care Compare group NPD
• Dream Provider Care Services

  • Mental Health Counselor
  • Washington, NC
  • NPI 1912952672

  NC

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  NC

  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of North Carolina, PC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1669422846

  Internal Medicine, NC

  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  NC

  Medicare reassignment NPD
• Brunswick Cardiology

  • Specialist
  • Supply, NC
  • NPI 1821112673

  NC

  Medicare reassignment
• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare group
• Inpatient Consultants of North Carolina, PC

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1790173680

  Internal Medicine

  NPD
• Professional Ultrasound & Imaging

  • Physiological Laboratory
  • Whiteville, NC
  • NPI 1649398751
  NPD
• The Hope & Healing Center Inc.

  • Professional Counselor
  • Whiteville, NC
  • NPI 1942779616
  NPD
• Century Care of Laurinburg Inc

  • Skilled Nursing Facility
  • Laurinburg, NC
  • NPI 1316921190
  NPD (past)
• Church Family Medicine, PC

  • Family Medicine Physician
  • Supply, NC
  • NPI 1053628065
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756

  Hospital

  Care Compare affiliation
• Century Care of Laurinburg Inc

  • Skilled Nursing Facility
  • Laurinburg, NC
  • NPI 1316921190

  Nursing home

  Care Compare affiliation
• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597

  Hospital

  Care Compare affiliation
• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774

  Hospital

  Care Compare affiliation
• Sunbridge Retirement Care Associates LLC

  • Skilled Nursing Facility
  • Pembroke, NC
  • NPI 1194779504

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1023094653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW STE 203",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624094",
            "telephone_number": "910-755-7192",
            "fax_number": "910-755-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW STE 203",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624094",
            "telephone_number": "910-755-7192",
            "fax_number": "910-755-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDER",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "35196",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2207970",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "561776208B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975177",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75177",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Satler, MS, OTR/L
• Sibyl Saunders
• Meaghan Rae Scarlett, RPAC
• Jordan Schneider
• Kirsten M Schneider, PA-C
• Shallotte Medical Center Inc
• Loretta Maree Shannon, OTR/L
• Renee Elizabeth Shepherd-Smith, DPM
• Shore Fun Pediatrics
• South Atlantic Radiation Oncology, LLC

• All providers in Supply, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.