SOUTHEASTERN RECOVERY ALTERNATIVES
NPI 1013975812
Clinic/Center in Lumberton, NC

NPI Status: Active since May 02, 2006

Contact Information

4303 LUDGATE ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-5000
Fax: (910) 671-5858

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  • Organization
  • Clinic/Center

About SOUTHEASTERN RECOVERY ALTERNATIVES

This page provides the complete NPI Profile along with additional information for Southeastern Recovery Alternatives, a provider established in Lumberton, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013975812 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Southeastern Recovery Alternatives operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southeastern Recovery Alternatives. The authorized official of this NPI record is Mr. C. Thomas Johnson Iii Cfo (V. P. Finance)

NPI
1013975812
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
SOUTHEASTERN RECOVERY ALTERNATIVES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4303 LUDGATE ST LUMBERTON, NC 28358
Location Phone
(910) 671-5000
Location Fax
(910) 671-5858
Mailing Address
300 W 27TH ST LUMBERTON, NC 28358
Mailing Phone
(910) 671-5000
Mailing Fax
(910) 671-5858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2006
Last Update Date
02-24-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

H0064 (NC)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

H0064 (NC)
3207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

H0064 (NC)
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

HOO64 (NC)
5363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

H0064 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. C. THOMAS JOHNSON III CFO

Authorized Official Title
V. P. FINANCE
Authorized Official Phone
(910) 671-5090

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8300343QMEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013975812, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 7 + 1 + 0 + 8 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013975812.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Otolaryngology
4303 LUDGATE ST
LUMBERTON, NC 28358
Nurse Practitioner (Psychiatric/Mental Health)
4303 LUDGATE ST
LUMBERTON, NC 28358
Otolaryngology
4303 LUDGATE ST
LUMBERTON, NC 28358
Nurse Practitioner (Family)
4303 LUDGATE ST
LUMBERTON, NC 28358
Nurse Practitioner (Family)
4303 LUDGATE ST
LUMBERTON, NC 28358
Nurse Practitioner (Family)
4303 LUDGATE ST
LUMBERTON, NC 28358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013975812, enumerated as an "organization" on May 02, 2006.

The provider is located at 4303 LUDGATE ST LUMBERTON, NC 28358 and the phone number is (910) 671-5000.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.