Southeastern Dermatology, PA
NPI 1922043629 · Dermatology Physician · Lumberton, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Dermatology, PA is a Dermatology Physician organization in Lumberton, NC (NPI 1922043629).
Provider details
- NPI number
- 1922043629
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Hendricks, Medical Director(910) 738-7154
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
- 2006-06-17
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Southeastern Dermatology, PA's NPI number?
- Southeastern Dermatology, PA's National Provider Identifier (NPI) is 1922043629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Dermatology, PA?
- Southeastern Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeastern Dermatology, PA located?
- Southeastern Dermatology, PA's practice location on file with NPPES is 4390 Fayetteville Rd, Lumberton, NC 28358-2677.
- What is Southeastern Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Dermatology, PA is (910) 738-7154.
- Does Southeastern Dermatology, PA accept Medicare?
- Southeastern Dermatology, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Dermatology, PA?
- The authorized official listed on Southeastern Dermatology, PA's NPPES record is Andrew Hendricks, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Dermatology, PA's NPI active?
- Yes — Southeastern Dermatology, PA's NPI (1922043629) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.