Southeastern Nephrology Associates, PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC

Practice address

1302 Medical Center Dr
Wilmington, NC 28401

Phone

(910) 343-9800

Fax

(910) 343-8650

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Murdoch Herion, M.D.

Title

Managing Partner

Phone

(910) 343-9800

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shernika Cobbs

  • Nurse Practitioner
  • Whiteville, NC
  • NPI 1912617762
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1104878347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N Myrtle Point Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822224",
            "country_code": "US",
            "telephone_number": "910-343-9800",
            "fax_number": "910-763-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "HERION",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MURDOCH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "910-343-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015CF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890145Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC GROUP",
            "identifier": "0227R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890227R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Healthcare Center PC
• Southeastern Healthcare Centers PC
• Southeastern Healthcare Centers PC
• Southeastern Healthcare of Monkey Junction PC
• Southeastern Medical Group, P.a.
• Southeastern United Care LLC
• Rose S Southerland, DPM
• Southern Cross Commuinty Services Inc
• Southern Cross Community Services, Inc
• Southern Cross Community Services, Inc

• Nephrology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.