OrganizationActive
Southeastern Regional Physician Services
NPI 1164028361 · Clinic/Center · Lumberton, NC
Provider details
- NPI number
- 1164028361
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ella Hunt, Credentialing(910) 737-3147
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2901 N Elm St
Lumberton, NC 28358-2982
Phone: (910) 671-5395
Street-level locationGet directions
Mailing address
2002 N Cedar St Ste B
Lumberton, NC 28358-3926
Other names (DBA / former)
- Doing business as
- Southeastern Covid-19 Vaccination Clinic
Registry dates
- Enumerated
- 2020-12-11
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.