SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1629469895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629469895 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN FAMILY MEDICINE CLINIC AT THE OAKS |
| Practice Address |
730 Oakridge Blvd Lumberton NC 28358-2324 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9107382662 |
| Practice Fax Number | 9107383730 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | FORDHAM B BRITT (DIRECTOR) |
| Authorized Official Telephone | 9106715026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeastern Family Medicine Clinic at The Oaks | Doing Business As Name - Organization |
| Southeastern Health Family Medicine Residency Clinic | Doing Business As Name - Organization |
| 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 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 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 |
| Street Address |
730 OAKRIDGE BLVD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974332 | Jeffrey Paul Campbell | Otolaryngology | 730 Oakridge Blvd, Suite C, Lumberton, NC 28358-2324 | 2005-09-29 |
| 1245851971 | Alexander Alide Johnson | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-05-05 |
| 1427679513 | Monica Mansour | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-30 |
| 1942820634 | Tayler Williams | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1366062069 | Joshua Davis | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1134749807 | Alexandra Krawczuk | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1164042842 | Alison Belliveau | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1598385288 | Suraj Rao | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1548880230 | Mohamed Raafat | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2020-04-22 |
| 1770148249 | Mashud Rana | Student in an Organized Health Care Education/Training Program | 730 Oakridge Blvd, Lumberton, NC 28358-2324 | 2019-05-09 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099127 | Carolina Acute Care & Wellness Center, Pa | General Practice | 2601 N Elm St Ste A, Lumberton, NC 28358-3063 | 2019-12-02 |
| 1578957346 | Southeastern Health Physician Services | General Practice | 725 Oakridge Blvd. Suite B2, Lumberton, NC 28358 | 2015-03-19 |
| 1346632593 | Southeastern Health Physician Services | General Practice | 2634 N Elm St. Suite G, Lumberton, NC 28358 | 2015-02-25 |
| 1376154781 | Healthworks Med Group of North Carolina P C | General Practice | 4251 Fayetteville Rd, Lumberton, NC 28358-2678 | 2020-08-11 |
| 1437542206 | Southeastern Regional Physician Services | General Practice | 395 W 27th St, Lumberton, NC 28358-3018 | 2015-03-18 |
| 1780712984 | Ferriss Yarnell Locklear | General Practice | 4320 Fayetteville Rd, Lumberton, NC 28358-2677 | 2007-03-01 |
| 1770676090 | Mark S Wood | General Practice | 598 W 11th Ave, Lumberton, MS 39455 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| 1962975540 | Home Call Health Services, Inc. | General Practice | 7612 Mallow Rd, Wilmington, NC 28411-7315 | 2019-01-07 |
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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.