SOUTHEASTERN ENT, P.C.
NPI 1487708731
Specialist in Enterprise, AL

Active since January 23, 2007
107 E WATTS ST, ENTERPRISE, AL 36330(334) 393-6837(334) 393-7011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southeastern Ent, P.c. NPPES

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

SOUTHEASTERN ENT, P.C. (NPI 1487708731) is a healthcare organization registered as a specialist in Enterprise, Alabama and active in the NPI registry since January 2007. The organization lists James Michael Mcqueen, Owner, as its authorized official.

NPPES Registry Identity

NPI1487708731
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN ENT, P.C.
Location Address107 E WATTS STEnterprise, AL 36330-2511
Mailing Address107 E Watts St, P.o. Box 311307Enterprise, AL 36330-2511 · (334) 393-6837 · Fax (334) 393-7011
Fax(334) 393-7011
Organization SubpartNo
Authorized OfficialJames Michael McqueenOwner · (334) 393-6837
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487708731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in AL · 06245✔ Licensed in AL · 14766✔ Licensed in AL · 22530
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.
107 E WATTS ST, Enterprise, AL 36330

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Ent, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeastern Ent, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1740268259
107 E WATTS ST
Enterprise, AL 36330
(334) 393-6837
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ent, P.C.'s NPI number?

The NPI number for Southeastern Ent, P.C. is 1487708731. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Southeastern Ent, P.C. located?

Southeastern Ent, P.C. is located at 107 E Watts St, Enterprise, AL 36330. The listed phone number is (334) 393-6837.

What is Southeastern Ent, P.C.'s specialty?

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

Is Southeastern Ent, P.C. enrolled in Medicare?

Yes. Southeastern Ent, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Ent, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Southeastern Ent, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeastern Ent, P.C. 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 6 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.