Organization Active NPI

Santhosh Augustine

  • Medical Specialty Clinic/Center
  • Lumberton, NC
National Provider Identifier
1740279876
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Santhosh Augustine, M.D.NPI 1689663700
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8912277MedicaidNC
19AKQOtherNCBCBS

Other names 1

  • Southeastern Gastroenterology & Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.