4TH MEDGRP-SEYMOUR JOHNSON
NPI 1831173558
Clinic/Center - Military/U.S. Coast Guard Outpatient in Seymour Johnson Afb, NC

Active since December 06, 2005
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531(919) 722-8257 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, May 30, 2025, Apr 7, 2023 (3 updates tracked since 2023).

About 4th Medgrp-seymour Johnson NPPES

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

4TH MEDGRP-SEYMOUR JOHNSON (NPI 1831173558) is a healthcare organization registered as a military/u.s. coast guard outpatient in Seymour Johnson Afb, North Carolina and active in the NPI registry since December 2005. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1831173558
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name4TH MEDGRP-SEYMOUR JOHNSON
Location Address2803 MEDICAL CAMPUS DRIVESeymour Johnson Afb, NC 27531-2310
Mailing Address2803 Medical Campus DriveSeymour Johnson Afb, NC 27531 · (919) 722-8257
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateDecember 6, 2005
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1831173558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
2803 MEDICAL CAMPUS DRIVE, Seymour Johnson Afb, NC 27531

Other Identifiers 1

Other3429405NC · Ncpdp

Other Providers at the Same Location NPPES 20

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

Family Medicine
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Dentist (General Practice)
2803 MEDICAL CAMPUS DRIVE
SJAFB, NC 27531
Pharmacist
2803 MEDICAL CAMPUS DRIVE
SEYMOUR JOHNSON AFB, NC 27531
Family Medicine
2803 MEDICAL CAMPUS DRIVE
SEYMOUR-JOHNSON AFB, NC 27531
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Psychologist
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531

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 4th Medgrp-Seymour Johnson's NPI number?

The NPI number for 4th Medgrp-Seymour Johnson is 1831173558. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is 4th Medgrp-Seymour Johnson located?

4th Medgrp-Seymour Johnson is located at 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531. The listed phone number is (919) 722-8257.

What is 4th Medgrp-Seymour Johnson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 4th Medgrp-Seymour Johnson was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.