OrganizationActive
Southeastern Regional Medical Center
NPI 1194555136 · Hematology & Oncology Physician · Lumberton, NC
Provider details
- NPI number
- 1194555136
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Johnson, Director - Reimbursement(910) 671-5083
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone: (910) 671-5730
Street-level locationGet directions
Mailing address
300 W 27th St
Lumberton, NC 28358-3075
Other names (DBA / former)
- Doing business as
- Unc Health Southeastern - Gcc
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.