SOUTHEASTERN RECOVERY CENTER
NPI 1124703988
Clinic/Center - Rehabilitation, Substance Use Disorder in Concord, NC
About Southeastern Recovery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN RECOVERY CENTER (NPI 1124703988) is a healthcare organization registered as a rehabilitation, substance use disorder in Concord, North Carolina and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Jamison Hoffman, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2292018
Southeastern Recovery Center LLC · Concord, NCFrequently 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 Recovery Center's NPI number?
The NPI number for Southeastern Recovery Center is 1124703988. It was assigned to this organization in the NPPES registry on June 20, 2023.
Where is Southeastern Recovery Center located?
Southeastern Recovery Center is located at 1018 Lee Ann Dr, Concord, NC 28025. The listed phone number is (404) 771-9863.
What is Southeastern Recovery Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Southeastern Recovery Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2292018) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeastern Recovery Center accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Southeastern Recovery Center 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 Recovery Center was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Southeastern Recovery Center · NPI 1124703988
Rehabilitation, Substance Use Disorder organization in Concord, North Carolina. Organization record, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1124703988 (Entity type: Organization)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Jamison Hoffman, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1018 LEE ANN DR, Concord, NC 28025-9504
- **Phone:** (404) 771-9863
## Record status
- **NPPES last updated:** July 28, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124703988) · Data from the CMS NPPES public registry.