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PAIN MANAGEMENT CLINIC
NPI 1053548016
Clinic/Center in Lumberton, NC

Active since June 17, 2009
4308 LUDGATE ST, LUMBERTON, NC 28358(910) 671-9298(910) 738-3764 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Management Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN MANAGEMENT CLINIC (NPI 1053548016) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since June 2009. The organization lists Charles T. Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053548016
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address4308 LUDGATE STLumberton, NC 28358-2461
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 671-9298
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJune 17, 2009
Last NPPES UpdateJune 18, 2009
✔ NPI 1053548016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · H0064
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).
4308 LUDGATE ST, Lumberton, NC 28358
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Other Names 1

Doing Business AsPain Management Clinic

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN REGIONAL MEDICAL CENTER
Clinic/Center (Pain)
4308 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 671-9298
DR. CAROLYN BRUMM MCCORMICK MD
Family Medicine
4308 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 674-4392
SOUTHEASTERN REGIONAL MEDICAL CENTER
Case Management
4308 LUDGATE ST
LUMBERTON, NC 28358
Robeson County (910) 671-5185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Regional Physician Services's NPI number?

The NPI number for Southeastern Regional Physician Services is 1053548016. It was assigned to this organization in the NPPES registry on June 17, 2009. The provider is doing business as Pain Management Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 4308 Ludgate St, Lumberton, NC 28358. The listed phone number is (910) 671-9298.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Physician Services was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.