Southeastern Hematology Oncology Associates PLLC
NPI 1043974728 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Hematology Oncology Associates PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jackson, TN (NPI 1043974728).
Provider details
- NPI number
- 1043974728
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Fouche, Owner(216) 832-8294
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southeastern Psychology Group
Additional practice locations (1)
- 14359 Torrey Chase Blvd Ste aHouston, TX 77014-1635Phone: (281) 781-7669
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Frequently asked questions
- What is Southeastern Hematology Oncology Associates PLLC's NPI number?
- Southeastern Hematology Oncology Associates PLLC's National Provider Identifier (NPI) is 1043974728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Hematology Oncology Associates PLLC?
- Southeastern Hematology Oncology Associates PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Southeastern Hematology Oncology Associates PLLC located?
- Southeastern Hematology Oncology Associates PLLC's practice location on file with NPPES is 3006 Greystone Sq, Jackson, TN 38305-3589.
- What is Southeastern Hematology Oncology Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Hematology Oncology Associates PLLC is (731) 474-1242.
- Does Southeastern Hematology Oncology Associates PLLC accept Medicare?
- Southeastern Hematology Oncology Associates PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeastern Hematology Oncology Associates PLLC?
- The authorized official listed on Southeastern Hematology Oncology Associates PLLC's NPPES record is Joseph Fouche, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Hematology Oncology Associates PLLC's NPI active?
- Yes — Southeastern Hematology Oncology Associates PLLC's NPI (1043974728) is active in the NPPES registry as of the last update on 2022-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.