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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1093389231
Clinic/Center in Hope Mills, NC

Active since May 13, 2021
1249 CHICKEN FOOT RD STE C, HOPE MILLS, NC 28348(910) 779-1967(910) 779-1968 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Regional Physician Services NPPES

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI 1093389231), doing business as Southeastern Multi-specialty Clinic Gray's Creek, is a healthcare organization registered as a clinic/center in Hope Mills, North Carolina and active in the NPI registry since May 2021. The organization lists Charles Thomas Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1093389231
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address1249 CHICKEN FOOT RD STE CHope Mills, NC 28348-7525
Mailing AddressPo Box 749193Atlanta, GA 30374-9193 · (984) 974-4372
Phone(910) 779-1967
Fax(910) 779-1968
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonCro · (910) 671-5083
Enumeration DateMay 13, 2021
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1093389231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
1249 CHICKEN FOOT RD STE C, Hope Mills, NC 28348
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Other Names 1

Doing Business AsSoutheastern Multi-specialty Clinic Gray's Creek

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 1093389231. It was assigned to this organization in the NPPES registry on May 13, 2021. The provider is doing business as Southeastern Multi-Specialty Clinic Gray's Creek.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 1249 Chicken Foot Rd Ste C, Hope Mills, NC 28348. The listed phone number is (910) 779-1967.

What is Southeastern Regional Physician Services's specialty?

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

What insurance does Southeastern Regional Physician Services accept?

Health plans from Blue Cross and Blue Shield of NC list Southeastern Regional Physician Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Physician Services was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.