SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1427282045
Clinic/Center - Multi-Specialty in Lumberton, NC

NPI Status: Active since May 11, 2009

Contact Information

2002 N CEDAR ST STE B
LUMBERTON, NC
ZIP 28358
Phone: (910) 272-3048
Fax: (910) 738-3764

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for Southeastern Regional Physician Services, a provider established in Lumberton, North Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427282045 assigned on May 2009. The practitioner's primary taxonomy code is 261QM1300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Charles T. Johnson Iii (Cfo)

NPI
1427282045
Provider Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Entity Type
Organization
Location Address
2002 N CEDAR ST STE B LUMBERTON, NC 28358
Location Phone
(910) 272-3048
Location Fax
(910) 738-3764
Mailing Address
2002 N CEDAR ST STE B LUMBERTON, NC 28358
Mailing Phone
(910) 272-3048
Mailing Fax
(910) 738-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2009
Last Update Date
10-08-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

H0064 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ Dental + Vision (No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES T. JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
344638CMEDICAID (05)NC 
344641CMEDICAID (05)NC 
5914047MEDICAID (05)NC 
5914050MEDICAID (05)NC 
344639CMEDICAID (05)NC 
344641AMEDICAID (05)NC 
5914043MEDICAID (05)NC 
5914048MEDICAID (05)NC 
022WROTHER (01)NCBCBS
022WTOTHER (01)NCBCBS
344647CMEDICAID (05)NC 
348961CMEDICAID (05)NC 
5913422MEDICAID (05)NC 
5914044MEDICAID (05)NC 
5914049MEDICAID (05)NC 
5914051MEDICAID (05)NC 
5917766MEDICAID (05)NC 
023R1OTHER (01)NCBCBS
344639AMEDICAID (05)NC 
344642AMEDICAID (05)NC 
348954AMEDICAID (05)NC 
344642CMEDICAID (05)NC 
5914045MEDICAID (05)NC 
5917954MEDICAID (05)NC 
022WGOTHER (01)NCBCBS
022WUOTHER (01)NCBCBS
025F5OTHER (01)NCBCBS
344647AMEDICAID (05)NC 
5918279MEDICAID (05)NC 
5921524MEDICAID (05)NC 
022WPOTHER (01)NCBCBS
344638AMEDICAID (05)NC 
348954CMEDICAID (05)NC 
348961AMEDICAID (05)NC 
5916164MEDICAID (05)NC 
022WNOTHER (01)NCBCBS
5914168MEDICAID (05)NC 
5914429MEDICAID (05)NC 
5917135MEDICAID (05)NC 
5917396MEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427282045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 4 + 8 + 4 + 0 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1427282045.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
2002 N CEDAR ST STE B
LUMBERTON, NC 28358
Physician Assistant (Medical)
2002 N CEDAR ST STE B
LUMBERTON, NC 28358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427282045, enumerated as an "organization" on May 11, 2009.

The provider is located at 2002 N CEDAR ST STE B LUMBERTON, NC 28358 and the phone number is (910) 272-3048.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC,. Please consult your insurance carrier or call the provider to verify.