SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1861829681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861829681 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN RADIOLOGY ASSOCIATES WIC |
| Practice Address |
105 W 27th St Lumberton NC 28358-3014 |
| Mailing Address |
2600 N Elm St # T Lumberton NC 28358-3011 |
| Practice Telephone | 9107388222 |
| Practice Fax Number | 9107388175 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| 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 | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
H0064 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeastern Radiology Associates WIC | 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 |
| 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 |
| 1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
| Street Address |
105 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3014 |
| 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 | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578918116 | Wellcareamerica LLC | Clinic/Center | 800 Park Offices Dr, Suite 3303, Durham, NC 27709 | 2016-05-02 |
| 1457302341 | Presbyterian Breast Center, LLC | Clinic/Center | 2900 Randolph Rd, Charlotte, NC 28211-1021 | 2006-05-15 |
| 1275584179 | Presbyterian Breast Center LLC | Clinic/Center | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-15 |
| 1013269653 | Hoke Imaging | Clinic/Center | 300 Medical Pavilion Drive, Raeford, NC 28376 | 2012-10-05 |
| 1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1033160973 | Presbyterian Breast Center, LLC | Clinic/Center | 16525 Holly Crest Ln, Ste 130, Huntersville, NC 28078-4909 | 2006-05-15 |
| 1558312413 | Presbyterian Breast Center, LLC | Clinic/Center | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2006-05-15 |
| 1104877356 | Foundation Health Systems, Corp | Clinic/Center | 2025 Frontis Plaza Blvd, Ste 300, Winston-salem, NC 27103-5663 | 2006-05-12 |
Please comment or provide details below to improve the information on SOUTHEASTERN REGIONAL PHYSICIAN SERVICES.
| 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.