Southeastern Regional Medical Center is a Psychiatry Clinic in Lumberton, North Carolina. It is located at 4303 Ludgate St, Lumberton, NC and its contact number is 910-671-5000. The authorized person for Southeastern Regional Medical Center is Mr. C. Thomas Johnson Iii
who is V. P. Finance of the clinic and his/her contact number is 910-671-5090. The primary license number for Southeastern Regional Medical Center is H0064 (Clinic/center) in North Carolina.
Southeastern Regional Medical Center Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Southeastern Regional Medical Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southeastern Regional Medical Center |
| Specialization: | Psychiatry |
| Clinic Address: | 4303 Ludgate St, Lumberton,
North Carolina, 28358-2460 |
| Phone: | 910-671-5000 |
| Fax: | 910-671-5858 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. C. Thomas Johnson Iii |
| Position: | V. P. Finance |
| Contact Number: | 910-671-5090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southeastern Regional Medical Center clinic are as mentioned below.
| NPI Number: | 1013975812 |
| NPI Enumeration Date: | 02 May, 2006 |
| NPI Last Update On: | 24 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeastern Regional Medical Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center | H0064 | North Carolina | Primary | |
| Addiction (Substance Use Disorder) | H0064 | North Carolina | Secondary | |
| Clinical | H0064 | North Carolina | Secondary | |
| Anesthesiology | H0064 | North Carolina | Secondary | |
| Psychiatry | HOO64 | North Carolina | Secondary | |
| Physician Assistant | H0064 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8300343Q | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southeastern Regional Medical Center
300 W 27th St,
Lumberton, North Carolina |
| Zip: | 28358-3075 |
| Phone Number: | 910-671-5000 |
| Fax Number: | 910-671-5858 |
Patients can reach Southeastern Regional Medical Center at
4303 Ludgate St, Lumberton, North Carolina or can
call to book an appointment on 910-671-5000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.