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SOUTHEASTERN SPECIALIST CLINIC
NPI 1487632873
Specialist in Gastonia, NC

Active since January 05, 2006
825 MAJESTIC CT, SUITE F, GASTONIA, NC 28054(704) 867-8975(704) 867-8353 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeastern Specialist Clinic NPPES

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

SOUTHEASTERN SPECIALIST CLINIC (NPI 1487632873) is a healthcare organization registered as a specialist in Gastonia, North Carolina and active in the NPI registry since January 2006. The organization lists John R. Miles, President/owner, as its authorized official.

NPPES Registry Identity

NPI1487632873
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN SPECIALIST CLINIC
Location Address825 MAJESTIC CT, SUITE FGastonia, NC 28054-5186
Mailing Address825 Majestic Court, Suite FGastonia, NC 28054 · (704) 867-8975 · Fax (704) 867-8353
Phone(704) 867-8975
Fax(704) 867-8353
Organization SubpartNo
Authorized OfficialJohn R. MilesPresident/owner · (704) 867-8975
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487632873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 19633
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
825 MAJESTIC CT, Gastonia, NC 28054
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Other Identifiers 1

Medicaid8958807NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MANISH V SHELADIA DMD
Clinic/Center (Dental)
825 MAJESTIC CT, SUITE - C
GASTONIA, NC 28054
Gaston County (704) 864-6721
GIHWALA AND ASSOCIATES
Psychiatry & Neurology (Psychiatry)
825 MAJESTIC CT, SUITE A
GASTONIA, NC 28054
Gaston County (704) 853-0173
DR. MANISH VALLABH SHELADIA D.M.D.
Dentist (General Practice)
825 MAJESTIC CT, STE. C
GASTONIA, NC 28054
Gaston County (704) 864-6721
DR. GARY P. WELLER DDS PA
Dentist (General Practice)
825 MAJESTIC CT, STE. C
GASTONIA, NC 28054
Gaston County (704) 864-6721
GARY P WELLER DDS PA
Dentist (General Practice)
825 MAJESTIC CT, SUITE C
GASTONIA, NC 28054
Gaston County (704) 864-6721

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 Specialist Clinic's NPI number?

The NPI number for Southeastern Specialist Clinic is 1487632873. It was assigned to this organization in the NPPES registry on January 5, 2006.

Where is Southeastern Specialist Clinic located?

Southeastern Specialist Clinic is located at 825 Majestic Ct Suite F, Gastonia, NC 28054. The listed phone number is (704) 867-8975.

What is Southeastern Specialist Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Specialist Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.