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SOUTHEASTERN INTEGRATED CARE
NPI 1245681048
Clinic/Center - Primary Care in Pembroke, NC

Active since June 23, 2016CLIA Certified · 5 labs
68 THREE HUNTS DR STE A, PEMBROKE, NC 28372(910) 522-0408(704) 931-9199 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2017, Jun 23, 2016 (2 updates tracked since 2016).

About Southeastern Integrated Care NPPES

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

SOUTHEASTERN INTEGRATED CARE (NPI 1245681048) is a healthcare organization registered as a primary care in Pembroke, North Carolina and active in the NPI registry since June 2016. The organization holds 5 active CLIA laboratory certificates and lists Daniel Z. Morman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245681048
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHEASTERN INTEGRATED CARE
Location Address68 THREE HUNTS DR STE APembroke, NC 28372-7319
Mailing Address68 Three Hunts Dr Ste APembroke, NC 28372-7319 · (910) 522-0408 · Fax (704) 931-9199
Phone(910) 522-0408
Fax(704) 931-9199
Organization SubpartNo
Authorized OfficialDaniel Z. MormanCeo · (704) 294-1075
Enumeration DateJune 23, 2016
Last NPPES UpdateFebruary 17, 20172 updates tracked since enumeration
✔ NPI 1245681048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
68 THREE HUNTS DR STE A, Pembroke, NC 28372
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CLIA Laboratory Certificates CMS CLIA 5

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 34D2315570

Southeastern Integrated Care, Llc./ Candor · Candor, NC
Active · expires Dec 15, 2026
CLIA Number34D2315570
Laboratory TypeMental Health Agency
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorNanci Brewington
Laboratory Phone(910) 522-0408
Laboratory LocationSoutheastern Integrated Care, Llc./ Candor110 East Blake Street, Candor, NC 27229
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2315573

Southeastern Integrated Care, Llc./ Pineview · Asheboro, NC
Active · expires Dec 15, 2026
CLIA Number34D2315573
Laboratory TypeMental Health Agency
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorNanci Brewington
Laboratory Phone(910) 522-0408
Laboratory LocationSoutheastern Integrated Care, Llc./ Pineview218 Pineview Road, Asheboro, NC 27203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2315575

Southeastern Integrated Care, Llc./ Hoke · Raeford, NC
Active · expires Dec 15, 2026
CLIA Number34D2315575
Laboratory TypeMental Health Agency
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorNanci Brewington
Laboratory Phone(910) 522-0408
Laboratory LocationSoutheastern Integrated Care, Llc./ Hoke400 West 8th Avenue, Raeford, NC 28376
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2315577

Southeastern Integrated Care, Llc./ Yadkin · Southern Pines, NC
Active · expires Dec 15, 2026
CLIA Number34D2315577
Laboratory TypeMental Health Agency
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorNanci Brewington
Laboratory Phone(910) 522-0408
Laboratory LocationSoutheastern Integrated Care, Llc./ Yadkin360yadkin Road, Southern Pines, NC 28387
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0890797

Southeastern Integrated Family Medicine · Lumberton, NC
Active · expires Nov 30, 2027
CLIA Number34D0890797
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorJoseph E. Roberts MD
Laboratory Phone(910) 522-0408
Laboratory LocationSoutheastern Integrated Family Medicine105 Farm Brook Drive, Lumberton, NC 28358
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Integrated Care's NPI number?

The NPI number for Southeastern Integrated Care is 1245681048. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Southeastern Integrated Care located?

Southeastern Integrated Care is located at 68 Three Hunts Dr Ste A, Pembroke, NC 28372. The listed phone number is (910) 522-0408.

What is Southeastern Integrated Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Southeastern Integrated Care hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southeastern Integrated Care was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.