Active NPI
Santhosh Augustine
- Medical Specialty Clinic/Center
- Lumberton, NC
National Provider Identifier
1740279876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SANTHOSH AUGUSTINE
- Doing business as
- Southeastern Gastroenterology & Internal Medicine
- Practice address
- 101 W 27TH St
Lumberton, NC 28358-3014 - Phone
- (910) 739-0770
- Fax
- (910) 739-4102
- NPI assigned
- Oct 20, 2005
- 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
- Santhosh Augustine, M.D.
- Title
- Medical Doctor
- Phone
- (910) 739-0770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NC | Primary |
Addresses
Primary practice location
101 W 27TH St
Lumberton, NC 28358-3014
Mailing address
101 W 27TH St
Lumberton, NC 28358-3014
Phone (910) 739-0770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912277 | Medicaid | NC | |
| 19AKQ | Other | NC | BCBS |
Other names 1
- Southeastern Gastroenterology & Internal Medicine
National Provider Directory
National Provider DirectoryLocations
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
612 Jefferson St
#32
Whiteville, NC 28472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Lumberton, NC
- NPI 1689663700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485216000000",
"number": "1740279876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 27TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583014",
"telephone_number": "910-739-0770",
"fax_number": "910-739-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 27TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583014",
"telephone_number": "910-739-0770",
"fax_number": "910-739-4102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTHOSH AUGUSTINE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2017-01-24",
"status": "A",
"authorized_official_last_name": "AUGUSTINE",
"authorized_official_first_name": "SANTHOSH",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "910-739-0770",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912277",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19AKQ",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeastern Gastroenterology & Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.