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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1164028361
Clinic/Center in Lumberton, NC

Active since December 11, 2020
2901 N ELM ST, LUMBERTON, NC 28358(910) 671-5395 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1164028361), doing business as Southeastern Covid-19 Vaccination Clinic, is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since December 2020. The organization lists Ella Hunt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164028361
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address2901 N ELM STLumberton, NC 28358-2982
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 671-5538
Phone(910) 671-5395
Organization SubpartNo
Authorized OfficialElla HuntCredentialing · (910) 737-3147
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1164028361 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).
2901 N ELM ST, Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutheastern Covid-19 Vaccination Clinic

Other Providers at the Same Location NPPES 6

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

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Clinic/Center
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 671-5270
MR. SHANNON LESLIE HERSHBERGER PA-C
Physician Assistant
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 671-5395
BEN HARDIN, MD, PA
Clinic/Center (Primary Care)
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 739-8164
JESSICA VELISSA WATTS NP
Nurse Practitioner (Family)
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 671-5395
MR. EARL CUMMINGS PA
Physician Assistant
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 671-5395
SOUTHEASTERN TRANSITION AND PRIMARY CARE CLINIC
Clinic/Center (Primary Care)
2901 N ELM ST
LUMBERTON, NC 28358
Robeson County (910) 737-3147

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 1164028361. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Southeastern COVID-19 Vaccination Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 2901 N Elm St, Lumberton, NC 28358. The listed phone number is (910) 671-5395.

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 December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.