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SOUTHEASTERN HEALTH CENTER CLARKTON
NPI 1477780476
Clinic/Center in Clarkton, NC

Active since June 17, 2009
9928 N. W. R. LATHAN ST., CLARKTON, NC 28433(910) 647-1503(910) 738-3764 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Health Center Clarkton NPPES

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

SOUTHEASTERN HEALTH CENTER CLARKTON (NPI 1477780476) is a healthcare organization registered as a clinic/center in Clarkton, 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

NPI1477780476
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address9928 N. W. R. LATHAN ST.Clarkton, NC 28433
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 737-3764
Phone(910) 647-1503
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJune 17, 2009
✔ NPI 1477780476 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).
9928 N. W. R. LATHAN ST., Clarkton, NC 28433
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Other Names 1

Doing Business AsSoutheastern Health Center Clarkton

Other Providers at the Same Location NPPES

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

SHARON G. BAXLEY FNP
Nurse Practitioner (Family)
9928 N. W. R. LATHAN ST.
CLARKTON, NC 28433
Bladen County (910) 647-1503

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 1477780476. It was assigned to this organization in the NPPES registry on June 17, 2009. The provider is doing business as Southeastern Health Center Clarkton.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 9928 N. W. R. Lathan St., Clarkton, NC 28433. The listed phone number is (910) 647-1503.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.