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SOUTHEASTERN LUMBERTON MEDICAL CLINIC
NPI 1245467208
Clinic/Center in Lumberton, NC

Active since June 17, 2009
395 W 27TH ST, LUMBERTON, NC 28358(910) 738-7551(910) 738-3764 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Lumberton Medical Clinic NPPES

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

SOUTHEASTERN LUMBERTON MEDICAL CLINIC (NPI 1245467208) 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

NPI1245467208
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 738-7551
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJune 17, 2009
✔ NPI 1245467208 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).

395 W 27TH ST, Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutheastern Lumberton Medical Clinic

Other Providers at the Same Location NPPES 20

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

PRADEEP GHIMIRE MD
General Practice
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
ZACHARY CARRIKER MD
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
JOHNNY LEE DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557

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 1245467208. It was assigned to this organization in the NPPES registry on June 17, 2009. The provider is doing business as Southeastern Lumberton Medical Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 738-7551.

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 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.