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SOUTHEASTERN MEDICAL GROUP, LLC
NPI 1093729386
Specialist in Lexington, SC

Active since July 29, 2006
609 SOUTH LAKE DR, STE 1, LEXINGTON, SC 29072(803) 957-0770(803) 957-0909 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Medical Group, Llc NPPES

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

SOUTHEASTERN MEDICAL GROUP, LLC (NPI 1093729386) is a healthcare organization registered as a specialist in Lexington, South Carolina and active in the NPI registry since July 2006. The organization lists Nowamagbe A Omoigui, Physician, as its authorized official.

NPPES Registry Identity

NPI1093729386
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN MEDICAL GROUP, LLC
Location Address609 SOUTH LAKE DR, STE 1Lexington, SC 29072-4119
Mailing Address609 South Lake Dr, Ste 1Lexington, SC 29072-4119 · (803) 957-0770 · Fax (803) 957-0909
Phone(803) 957-0770
Fax(803) 957-0909
Organization SubpartNo
Authorized OfficialNowamagbe A OmoiguiPhysician · (803) 957-0770
Enumeration DateJuly 29, 2006
Last NPPES UpdateMay 21, 2020
✔ NPI 1093729386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 17764
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
609 SOUTH LAKE DR, Lexington, SC 29072
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Other Identifiers 2

Other1386645596SC · Dr. Omoigui Ind Npi #
Other17764SC · Sc Medical License #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Group, LLC's NPI number?

The NPI number for Southeastern Medical Group, LLC is 1093729386. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Southeastern Medical Group, LLC located?

Southeastern Medical Group, LLC is located at 609 South Lake Dr Ste 1, Lexington, SC 29072. The listed phone number is (803) 957-0770.

What is Southeastern Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Medical Group, LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.