SOUTHEASTERN REGIONAL PHYSICIAN SERVICES


Address: 4384 Fayetteville Rd, Lumberton, NC 28358
Phone: 9107381141

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1003244286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003244286
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Other Organization Name SOUTHEASTERN MEDICAL SPECIALISTS
Practice Address 4384 Fayetteville Rd
Lumberton
NC 28358
Mailing Address 2002 N Cedar St Ste B
Lumberton
NC 28358-3926
Practice Telephone 9107381141
Practice Fax Number 9107386011
Mailing Telephone 9102723048
Mailing Fax Number 9107383764
Enumeration Date 2013-10-24
Last Update Date 2020-10-08
Authorized Official Name FORDHAM B. BRITT (DIRECTOR)
Authorized Official Telephone 9106715026
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
H0064 NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southeastern Medical Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4384 FAYETTEVILLE RD
City LUMBERTON
State NC
Zip Code 28358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346247756 Pinakin Pushkarrai Vias Internal Medicine 4384 Fayetteville Rd, Lumberton, NC 28358-2677 2005-06-30
1053947150 Chastity Caulder Benson Nurse Practitioner 4384 Fayetteville Rd, Lumberton, NC 28358-2677 2020-03-20
1427425669 Komal Motwani Internal Medicine 4384 Fayetteville Rd, Lumberton, NC 28358-2677 2015-08-24
1992799308 Medical Specialists' Clinic, Pa Internal Medicine 4384 Fayetteville Rd, Lumberton, NC 28358-2677 2005-08-31
1790782290 Somnath Narayan Naik Internal Medicine 4384 Fayetteville Rd, Lumberton, NC 28358-2677 2005-06-30

Providers in the same zip code

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 Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LUMBERTON
Zip Code 28358

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Dataset Information

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.

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