Organization Active NPI

Southeastern Medical Oncology Center

  • Hematology & Oncology Physician
  • Goldsboro, NC
National Provider Identifier
1306828678
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTHEASTERN MEDICAL ONCOLOGY CENTER
Practice address
203 Cox Blvd
Goldsboro, NC 27534
Phone
(919) 580-0000
Fax
(919) 580-0209
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Teresa W Hoyt
Title
Business Manager
Phone
(919) 587-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

203 Cox Blvd
Goldsboro, NC 27534

Mailing address

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

Other identifiers 1

IdentifierTypeStateIssuer
890252EMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050727000867 NC Part B Supplier - Clinic/Group Practice 8325017817 Receives reassigned benefits from 12 practitioners
Practice locations: Clinton, NC; Goldsboro, NC; Jacksonville, NC
O20100930043877 NC DME Supplier - Physician - Medical Oncology 8325017817 Practice locations: Goldsboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0692045Southeastern Medical Oncology Center203 Cox Blvd, Goldsboro, NC 27534AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

211 Beaman St
Clinton, NC 28328
Phone (877) 293-1973

203 Cox Blvd
Goldsboro, NC 27534
Phone (919) 580-0000

2817 Wooten Blvd SW
Wilson, NC 27893
Phone (252) 293-0777

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1306828678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-580-0000",
            "fax_number": "919-580-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-587-9040"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890252E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.