Southeastern Pediatrics, PLLC
NPI 1477210516 · Family Nurse Practitioner · Durant, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Pediatrics, PLLC is a Family Nurse Practitioner organization in Durant, OK (NPI 1477210516).
Provider details
- NPI number
- 1477210516
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Myna Laughlin, Owner(580) 924-5439
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Southeastern Pediatrics and Family Practice
- Doing business as
- Southeastern Pediatrics and Family Practice
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2022-10-17
- Certified
- 2022-10-12
Frequently asked questions
- What is Southeastern Pediatrics, PLLC's NPI number?
- Southeastern Pediatrics, PLLC's National Provider Identifier (NPI) is 1477210516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Pediatrics, PLLC?
- Southeastern Pediatrics, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southeastern Pediatrics, PLLC located?
- Southeastern Pediatrics, PLLC's practice location on file with NPPES is 1705 N Washington Ave Ste C, Durant, OK 74701-2100.
- What is Southeastern Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Pediatrics, PLLC is (580) 924-5439.
- Does Southeastern Pediatrics, PLLC accept Medicare?
- Southeastern Pediatrics, 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 Pediatrics, PLLC?
- The authorized official listed on Southeastern Pediatrics, PLLC's NPPES record is Myna Laughlin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Pediatrics, PLLC's NPI active?
- Yes — Southeastern Pediatrics, PLLC's NPI (1477210516) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.