Skip to content

Southeastern Regional Physician Services

NPI 1245467208ActiveOrganization· Clinic/Center· Lumberton, NC

Clinic/Center in Lumberton, North Carolina, registered in NPPES in June 2009. The authorized official on file is Charles T. Johnson, Cfo.

Overview

NPI1245467208
StatusActive
Entity typeOrganization
NPI issuedJun 17, 2009
Last updated in NPPESJun 17, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000XH0064NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Lumberton

All 29 Clinic/Center providers in Lumberton · All Clinic/Center providers in North Carolina