SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1356774855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356774855 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN URGENT CARE LUMBERTON |
| Practice Address |
2934 N Elm St Suite B Lumberton NC 28358-2986 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9102721175 |
| Practice Fax Number | 9102721174 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | MICHAEL ERNEST BROWN (DIRECTOR) |
| Authorized Official Telephone | 9106715044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
H0064 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeastern Urgent Care Lumberton | 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 |
2934 N ELM ST SUITE B |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629028576 | Samuel E Britt II | Surgery | 2934 N Elm St, Ste E, Lumberton, NC 28358-2986 | 2006-05-11 |
| 1568908176 | Melanie Bauer | Physician Assistant | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 | 2017-01-07 |
| 1013312826 | Roberto Jose Arias Gautreaux | Surgery | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 | 2014-10-23 |
| 1811305014 | Crystal Hunt | Registered Nurse | 2934 N Elm St, Suite G, Lumberton, NC 28358-2986 | 2014-07-31 |
| 1316355589 | Gladys Paul | Registered Nurse | 2934 N Elm St, Suite G, Lumberton, NC 28358-2986 | 2014-07-31 |
| 1205259546 | Southeastern Regional Physician Services | Clinic/Center | 2934 N Elm St, Suite F, Lumberton, NC 28358-2986 | 2014-01-22 |
| 1477888964 | Lya Crichlow | Surgery | 2934 N Elm St, Lumberton, NC 28358-2981 | 2009-10-16 |
| 1629259254 | Kendra Joy Modell Parrish | Surgery | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 | 2007-11-26 |
| 1891821435 | Barry Gerard Graham | Physician Assistant | 2934 N Elm St, Ste B, Lumberton, NC 28358-2986 | 2007-02-26 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386019594 | Texas Bestmed Urgent Care LLC | Clinic/Center | 114 S Lhs Dr, Lumberton, TX 77657-8600 | 2015-12-14 |
| 1063779114 | Southeastern Regional Medical Center | Clinic/Center | 2934 N. El M St., Suite B, Lumberton, NC 28358-2981 | 2012-04-13 |
| 1639799984 | Hardin County Urgent Care Pllc | Clinic/Center | 641 S Main St, Lumberton, TX 77657-7378 | 2020-04-16 |
| 1467784488 | Lumberton Family & Urgent Care Center Pllc | Clinic/Center | 309 N Roberts Ave, Lumberton, NC 28358-5383 | 2010-02-01 |
| 1366476566 | Matrix Occupational Health Inc | Clinic/Center | 2601 N Elm St, Ste A, Lumberton, NC 28358-3060 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372243 | Urgent Care of Wallace, Pllc | Clinic/Center | 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 | 2020-10-07 |
| 1093325250 | Cdt Healthcare | Clinic/Center | 1011 High Point St, Randleman, NC 27317-7192 | 2020-08-03 |
| 1700409562 | Range Urgent Care, Pllc | Clinic/Center | 201 Nc Highway 9, Black Mountain, NC 28804 | 2020-05-27 |
| 1649899279 | Queens Empire Health | Clinic/Center | 3280 Henderson Dr Ste C-1, Jacksonville, NC 28546-5289 | 2020-04-14 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1801453089 | Mediq Urgent Care PC | Clinic/Center | 12201 N Nc Highway 150 Ste 11, Winston Salem, NC 27127-9731 | 2019-05-23 |
| 1144887324 | Bettermed of North Carolina Pllc | Clinic/Center | 2304 Matthews Township Pkwy Ste 104, Matthews, NC 28105-2693 | 2019-05-23 |
| 1992361992 | First Call Medical Group Pllc | Clinic/Center | 210 Charlois Blvd, Winston Salem, NC 27103-1552 | 2019-05-15 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 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.