Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Medical, PA

Organization Specialist · NPI 1730192626

Southeastern Medical, PA provides Specialist services in Sunset Beach, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

830 Sunset Blvd N
Sunset Beach, NC 28468-4262 Not confirmed with CMS for 16 years — call before visiting
Phone: (910) 575-5750
Fax: (910) 575-5751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 96-01376 (NC)
Specialist Taxonomy 174400000X · Licence 10022 (NC)

Record details

NPI number1730192626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Lepore — Owner · (910) 575-5750
NPI enumeratedAugust 14, 2006
Last updated in NPPESSeptember 27, 2010
Mailing address830 Sunset Blvd N, Sunset Beach, NC 28468-4262