Active NPI
Southeastern Neurology, Inc.
- Neurology Physician
- Lumberton, NC
National Provider Identifier
1598894495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- SOUTHEASTERN NEUROLOGY, INC.
- Practice address
- 4850 Fayetteville Rd
Suite E
Lumberton, NC 28358-2100 - Phone
- (910) 671-0407
- Fax
- (910) 671-0570
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bei H Tang
- Title
- Office Manager
- Phone
- (910) 671-0407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
4850 Fayetteville Rd
Suite E
Lumberton, NC 28358-2100
Mailing address
4850 Fayetteville Rd
Suite E
Lumberton, NC 28358-2100
Phone (910) 671-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100908000317 | NC | Part B Supplier - Clinic/Group Practice | 9739203100 |
Receives reassigned benefits from 1 practitioner Practice locations: Lumberton, NC |
National Provider Directory
National Provider DirectoryLocations
4850 Fayetteville Rd
Ste E
Lumberton, NC 28358
Phone (910) 671-0407
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598894495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 FAYETTEVILLE RD",
"address_2": "SUITE E",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582100",
"telephone_number": "910-671-0407",
"fax_number": "910-671-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 FAYETTEVILLE RD",
"address_2": "SUITE E",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582100",
"telephone_number": "910-671-0407",
"fax_number": "910-671-0570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN NEUROLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TANG",
"authorized_official_first_name": "BEI",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-671-0407",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
- Southeastern Health Physician Services
- Southeastern Home Health Care Services Inc
- Southeastern Home Health Care Services Inc.
- Southeastern Integrated Care
- Southeastern Life Center Inc
- Southeastern Pathology Associates PA
- Southeastern Pharmacy Health Park
- Southeastern Regioinal Medical Center
- Southeastern Regioinal Medical Center
- Southeastern Regioinal Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.