SOUTHEASTERN HEALTH PHYSICIAN SERVICES (NPI# 1720434525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720434525 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEALTH PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN NEUROLOGICAL CENTER |
| Practice Address |
4901 Dawn Dr Suite 3400 Lumberton NC 28360-8287 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9106714205 |
| Practice Fax Number | 9106714850 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MRS. FORDHAM B BRITT (DIRECTOR) |
| Authorized Official Telephone | 9106715026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeastern Neurological Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518351279 | Southeastern Health Physician Services | Ophthalmology | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2015-03-20 |
| 1801280672 | Southeastern Health Physician Services | Internal Medicine | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2015-03-19 |
| 1255725024 | Southeastern Health Physician Services | Internal Medicine | 725 Oakridge Blvd Ste C1, Lumberton, NC 28358-2351 | 2015-03-19 |
| 1851784995 | Southeastern Health Physician Services | Internal Medicine | 401 W 27th St, Lumberton, NC 28358-3019 | 2015-03-13 |
| 1386037539 | Southeastern Health Physician Services | General Practice | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 | 2015-03-12 |
| 1073906228 | Southeastern Health Physician Services | General Practice | 1249 Chicken Foot Rd, Hope Mills, NC 28348-7525 | 2015-03-12 |
| Street Address |
4901 DAWN DR SUITE 3400 |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1881046035 | Sashah Davis | Specialist/Technologist | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2016-07-11 |
| 1518332162 | Brendon Michael Jonsson | Specialist/Technologist | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-12-08 |
| 1790152668 | Southeastern Regional Medical Center | General Acute Care Hospital | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2015-08-27 |
| 1235506569 | Jamie Young | Nurse Practitioner | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-08-21 |
| 1699179903 | Carolina Bays Anesthesia, P.C. | Anesthesiology | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-10-15 |
| 1972911030 | Southeastern Ambulatory Surgery Center, LLC | Clinic/Center | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-07-31 |
| 1548672504 | Southeastern Regional Physician Services | Internal Medicine | 4901 Dawn Dr, 3rd Floor Suite 4, Lumberton, NC 28360-8207 | 2014-05-27 |
| 1578975611 | Southeastern Regional Physician Services | Physical Medicine & Rehabilitation | 4901 Dawn Dr, 3rd Floor Suite 1, Lumberton, NC 28360-8207 | 2014-05-23 |
| 1558773770 | Southeastern Regional Physician Services | Orthopaedic Surgery | 4901 Dawn Dr, 2nd Floor Suite 3, Lumberton, NC 28360-8207 | 2014-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| 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 |
| 1093960262 | Hamilton Therapeutic Services, L.l.c | Clinic/Center | 3501 Fayetteville Rd, Lumberton, NC 28358-2709 | 2008-12-01 |
| 1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
| 1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
| 1407843014 | Southeastern Eye Care, Pa | Clinic/Center | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| 1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
| 1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
| 1013453265 | Tad Group LLC | Clinic/Center | 1233 S Main St, Lumberton, TX 77657-7390 | 2017-01-12 |
| 1255790507 | Southeastern Regional Physician Services | Clinic/Center | 4307 Fayetteville Rd, Lumberton, NC 28358-2676 | 2016-02-15 |
| 1831425719 | Southeastern Regional Medical Center | Clinic/Center | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2009-10-27 |
| Find all providers in LUMBERTON | ||||
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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.