ST. PAULS MEDICAL CLINIC
NPI 1750518692
Clinic/Center in Saint Pauls, NC

Active since June 18, 2009
128 E BROAD ST, SAINT PAULS, NC 28384(910) 865-5955(910) 738-3764 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Pauls Medical Clinic NPPES

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

ST. PAULS MEDICAL CLINIC (NPI 1750518692) is a healthcare organization registered as a clinic/center in Saint Pauls, 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

NPI1750518692
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address128 E BROAD STSaint Pauls, NC 28384-1610
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJune 18, 2009
NPI 1750518692 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).

128 E BROAD ST, Saint Pauls, NC 28384

Other Names 1

Doing Business AsSt. Pauls Medical Clinic

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Gerontology)
128 E BROAD ST
SAINT PAULS, NC 28384
Social Worker (Clinical)
128 E BROAD ST
SAINT PAULS, NC 28384
Physician Assistant (Medical)
128 E BROAD ST
SAINT PAULS, NC 28384
Clinic/Center (Rural Health)
128 E BROAD ST
SAINT PAULS, NC 28384
Nurse Practitioner (Family)
128 E BROAD ST
SAINT PAULS, NC 28384
Clinic/Center (Federally Qualified Health Center (FQHC))
128 E BROAD ST
SAINT PAULS, NC 28384
Clinic/Center (Rural Health)
128 E BROAD ST
SAINT PAULS, NC 28384
Social Worker (Clinical)
128 E BROAD ST
SAINT PAULS, NC 28384

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 1750518692. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as St. Pauls Medical Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 128 E Broad St, Saint Pauls, NC 28384. The listed phone number is (910) 865-5955.

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 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.