SOUTHEASTERN REGIONAL PHYSICIAN SERVICES


Address: 2936 N Elm St Ste 102, Lumberton, NC 28358-2981
Phone: 9106716619

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1376065854) 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) 1376065854
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Other Organization Name SOUTHEASTERN CARDIOLOGY AND CARDIOVASCULAR CLINIC
Practice Address 2936 N Elm St Ste 102
Lumberton
NC 28358-2981
Mailing Address 2002 N Cedar St Ste B
Lumberton
NC 28358-3926
Practice Telephone 9106716619
Practice Fax Number 9106080487
Mailing Telephone 9107373147
Mailing Fax Number 9106715538
Enumeration Date 2017-07-17
Last Update Date 2020-10-08
Authorized Official Name MR. CHARLES T JOHNSON III (VP/CFO)
Authorized Official Telephone 9106715090
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southeastern Cardiology and Cardiovascular Clinic 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 2936 N ELM ST STE 102
City LUMBERTON
State NC
Zip Code 28358-2981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780895599 Xiuxian Alan Zhu Internal Medicine 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2007-05-24
1972136331 Latesha Pait Nurse Practitioner 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2020-02-13
1679115547 Jayci Harrison Physician Assistant 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2019-10-12
1386201473 Bolanle O Onime Nurse Practitioner 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2019-05-23
1447724430 Courtney Paige Bradford Physician Assistant 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2019-01-14
1104281070 Keira Donaldson Nurse Practitioner 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2015-12-21
1831435494 Hiten Patel Internal Medicine 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2012-12-28
1831399542 Ifad U Rahman Internal Medicine 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2007-07-20

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 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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
1013453265 Tad Group LLC Clinic/Center 1233 S Main St, Lumberton, TX 77657-7390 2017-01-12
1720434525 Southeastern Health Physician Services Clinic/Center 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 2016-05-11
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

Competitor

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City LUMBERTON
Zip Code 28358

Improve Information

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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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