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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHEASTERN PEDIATRICS, PLLC
NPI 1477210516
Nurse Practitioner - Family in Durant, OK

Active since November 23, 2021CLIA 37D2244988 · Waiver
1706 DELIVERY LN, DURANT, OK 74701(580) 924-5439(580) 967-1002 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2026, Oct 17, 2022, Nov 23, 2021 (3 updates tracked since 2021).

About Southeastern Pediatrics, Pllc NPPES

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

SOUTHEASTERN PEDIATRICS, PLLC (NPI 1477210516), doing business as Southeastern Pediatrics And Family Practice, is a healthcare organization registered as a family in Durant, Oklahoma and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 7, 2027, maintains a secondary practice location in Durant, and lists Myna Laughlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1477210516
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHEASTERN PEDIATRICS, PLLC
Location Address1706 DELIVERY LNDurant, OK 74701-2292
Mailing Address1706 Delivery Ln Ste 200Durant, OK 74701-2292 · (580) 924-5439 · Fax (580) 967-1002
Phone(580) 924-5439
Fax(580) 967-1002
Organization SubpartNo
Authorized OfficialMyna LaughlinOwner · (580) 924-5439
Enumeration DateNovember 23, 2021
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1477210516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1706 DELIVERY LN, Durant, OK 74701
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Other Names 1

Doing Business AsSoutheastern Pediatrics And Family Practice

Secondary Practice Location 1

Location 11705 N Washington Ave Ste CDurant, OK 74701-2100 · Phone (580) 924-5439

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 37D2244988

Southeastern Pediatrics, PLLC · Durant, OK
Active · expires Dec 7, 2027
CLIA Number37D2244988
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorMyna R. Laughlin
Laboratory Phone(580) 924-5439
Laboratory LocationSoutheastern Pediatrics, PLLC1705 N Washington, Ste C, Durant, OK 74701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KINION WHITTINGTON DO
Obstetrics & Gynecology
1706 DELIVERY LN
DURANT, OK 74701
Bryan County (580) 920-2122
MRS. SHYANNE ROSELYNN SHIPP RN, IBCLC
Registered Nurse (Lactation Consultant)
1706 DELIVERY LN
DURANT, OK 74701
Bryan County (580) 745-5228
RANDALL JASON DAVAULT M.D.
Surgery
1706 DELIVERY LN
DURANT, OK 74701
Bryan County (580) 924-0110
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
1706 DELIVERY LN
DURANT, OK 74701
Bryan County (918) 561-8306

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 Pediatrics, PLLC's NPI number?

The NPI number for Southeastern Pediatrics, PLLC is 1477210516. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Southeastern Pediatrics and Family Practice.

Where is Southeastern Pediatrics, PLLC located?

Southeastern Pediatrics, PLLC is located at 1706 Delivery Ln, Durant, OK 74701. The listed phone number is (580) 924-5439.

What is Southeastern Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Southeastern Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2244988) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Pediatrics, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Southeastern Pediatrics, PLLC 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 Pediatrics, PLLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.