Southeastern Medical Group, P.A.
NPI 1265479091 · Internal Medicine Physician · Wilmington, NC
Southeastern Medical Group, P.A. is a Internal Medicine Physician organization in Wilmington, NC (NPI 1265479091).
Provider details
- NPI number
- 1265479091
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Wilson, Office Manager(910) 799-1810
- License
- 16755 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs 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
Mailing address
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeastern Medical Group, P.A.'s NPI number?
- Southeastern Medical Group, P.A.'s National Provider Identifier (NPI) is 1265479091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Medical Group, P.A.?
- Southeastern Medical Group, P.A. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southeastern Medical Group, P.A. located?
- Southeastern Medical Group, P.A.'s practice location on file with NPPES is 637 S Kerr Ave, Wilmington, NC 28403-8423.
- What is Southeastern Medical Group, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Southeastern Medical Group, P.A. is (910) 799-1810.
- Who is the authorized official for Southeastern Medical Group, P.A.?
- The authorized official listed on Southeastern Medical Group, P.A.'s NPPES record is Patricia Wilson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Medical Group, P.A.'s NPI active?
- Yes — Southeastern Medical Group, P.A.'s NPI (1265479091) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.