SOUTHEASTERN HEALTH ENDOCRINOLOGY CLINIC
NPI 1780202093
Clinic/Center in Lumberton, NC

Active since July 13, 2020
4901 DAWN DR STE 3300, LUMBERTON, NC 28360(910) 671-5410(910) 735-8695 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Oct 20, 2020, Oct 8, 2020 and 1 more (4 updates tracked since 2020).

About Southeastern Health Endocrinology Clinic NPPES

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

SOUTHEASTERN HEALTH ENDOCRINOLOGY CLINIC (NPI 1780202093) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since July 2020. The organization lists Charles Thomas Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1780202093
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address4901 DAWN DR STE 3300Lumberton, NC 28360-8288
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Fax(910) 735-8695
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonCro · (910) 671-5083
Enumeration DateJuly 13, 2020
Last NPPES UpdateMay 10, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1780202093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
4901 DAWN DR STE 3300, Lumberton, NC 28360

Other Names 1

Doing Business AsSoutheastern Health Endocrinology Clinic

Other Providers at the Same Location NPPES 2

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

Neurological Surgery
4901 DAWN DR STE 3300
LUMBERTON, NC 28360
Nurse Practitioner (Family)
4901 DAWN DR STE 3300
LUMBERTON, NC 28360

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 1780202093. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Southeastern Health Endocrinology Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 4901 Dawn Dr Ste 3300, Lumberton, NC 28360. The listed phone number is (910) 671-5410.

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 May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.