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SOUTHEASTERN URGENT CARE PEMBROKE
NPI 1912134859
Clinic/Center - Urgent Care in Pembroke, NC

Active since June 18, 2009
812 CANDY PARK RD, PEMBROKE, NC 28372(910) 521-0564(910) 738-3764 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southeastern Urgent Care Pembroke NPPES

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

SOUTHEASTERN URGENT CARE PEMBROKE (NPI 1912134859) is a healthcare organization registered as an urgent care in Pembroke, 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

NPI1912134859
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address812 CANDY PARK RDPembroke, NC 28372-9129
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 521-0564
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJune 18, 2009
✔ NPI 1912134859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in NC · H0064
812 CANDY PARK RD, Pembroke, NC 28372
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Other Names 1

Doing Business AsSoutheastern Urgent Care Pembroke

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.

INTEGRATED PAIN & INJURY CENTER, PLLC
General Practice
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Cardiovascular Disease)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 671-6619
DR. JOHN ASHLEY DEESE DC
Chiropractor
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
HANNA ELIZABETH BULLARD PA-C
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
KAYLA JACOBS
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
MS. TRISHA LYNN CARTER LCSW
Social Worker (Clinical)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 671-5730
GINGER NICHOLE LOCKLEAR MD
Pediatrics
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201

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 1912134859. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as Southeastern Urgent Care Pembroke.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 812 Candy Park Rd, Pembroke, NC 28372. The listed phone number is (910) 521-0564.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.