SOUTHEASTERN MEDICAL GROUP PC NPI 1184669053

NPI Information

  • NPI: 1184669053
  • Provider Name: SOUTHEASTERN MEDICAL GROUP, PC
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Organization
  • Address: 260 HOSPITAL DR
    BREVARD, NC
    ZIP 28712
  • Phone: (828) 884-9111

Map and Directions

Get Directions

NPI Details

SOUTHEASTERN MEDICAL GROUP, PC is a hospitalist in Brevard, NC. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. SOUTHEASTERN MEDICAL GROUP, PC NPI is 1184669053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

260 HOSPITAL DR
BREVARD, NC
ZIP 28712-378
Phone: (828) 884-9111

The provider's authorized official is Randal L Dabbs .
The authorized official title is President and has the following contact phone number (865) 693-1000.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208M00000XHospitalistYes
2363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184669053MEDICAIDNORTH CAROLINA
23705406MEDICAIDTENNESSEE
3DD8348OTHERTENNESSEERRGA MEDICARE
4611073900OTHERTENNESSEEUS DEPT LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI