SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1427282045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427282045 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
Practice Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
Practice Telephone | 9102723048 |
Practice Fax Number | 9107383764 |
Mailing Telephone | 9102723048 |
Mailing Fax Number | 9107383764 |
Enumeration Date | 2009-05-11 |
Last Update Date | 2020-10-08 |
Authorized Official Name | CHARLES T. JOHNSON III (CFO) |
Authorized Official Telephone | 9106715090 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H0064 | NC | Ambulatory Health Care Facilities |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
H0064 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 344638C | 05 | |
NC | 344641C | 05 | |
NC | 5914047 | 05 | |
NC | 5914050 | 05 | |
NC | 344639C | 05 | |
NC | 344641A | 05 | |
NC | 5914043 | 05 | |
NC | 5914048 | 05 | |
NC | BCBS | 022WR | 01 |
NC | BCBS | 022WT | 01 |
NC | 344647C | 05 | |
NC | 348961C | 05 | |
NC | 5913422 | 05 | |
NC | 5914044 | 05 | |
NC | 5914049 | 05 | |
NC | 5914051 | 05 | |
NC | 5917766 | 05 | |
NC | BCBS | 023R1 | 01 |
NC | 344639A | 05 | |
NC | 344642A | 05 | |
NC | 348954A | 05 | |
NC | 344642C | 05 | |
NC | 5914045 | 05 | |
NC | 5917954 | 05 | |
NC | BCBS | 022WG | 01 |
NC | BCBS | 022WU | 01 |
NC | BCBS | 025F5 | 01 |
NC | 344647A | 05 | |
NC | 5918279 | 05 | |
NC | 5921524 | 05 | |
NC | BCBS | 022WP | 01 |
NC | 344638A | 05 | |
NC | 348954C | 05 | |
NC | 348961A | 05 | |
NC | 5916164 | 05 | |
NC | BCBS | 022WN | 01 |
NC | 5914168 | 05 | |
NC | 5914429 | 05 | |
NC | 5917135 | 05 | |
NC | 5917396 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
1407281082 | Southeastern Regional Physician Services | Clinic/Center | 4901 Dawn Dr Ste 3300, Lumberton, NC 28360-8288 | 2013-09-13 |
1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
1336797349 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2019-09-03 |
1851950562 | Southeastern Regional Physician Services | Clinic/Center | 117 E Main St, Whiteville, NC 28472-4131 | 2019-06-07 |
1487113668 | Southeastern Regional Physician Services | Clinic/Center | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-03-18 |
1699266742 | Southeastern Regional Physician Services | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2018-05-24 |
1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
Street Address |
2002 N CEDAR ST STE B |
City | LUMBERTON |
State | NC |
Zip Code | 28358-3926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386077790 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-21 |
1982037578 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
Find all providers in zip 28358 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205259546 | Southeastern Regional Physician Services | Clinic/Center | 2934 N Elm St, Suite F, Lumberton, NC 28358-2986 | 2014-01-22 |
1003244286 | Southeastern Regional Physician Services | Clinic/Center | 4384 Fayetteville Rd, Lumberton, NC 28358 | 2013-10-24 |
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---|---|---|---|---|
1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.