OrganizationActive
Southeastern Regional Physician Services
NPI 1477780476 · Clinic/Center · Clarkton, NC
Southeastern Regional Physician Services is a Clinic/Center organization in Clarkton, NC (NPI 1477780476).
Provider details
- NPI number
- 1477780476
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Johnson, Cfo(910) 671-5090
- License
- H0064 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
9928 N. W. R. Lathan St.
Clarkton, NC 28433
Phone: (910) 647-1503
Fax: (910) 738-3764
Street-level locationGet directions
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Other names (DBA / former)
- Doing business as
- Southeastern Health Center Clarkton
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2009-06-17
Frequently asked questions
- What is Southeastern Regional Physician Services's NPI number?
- Southeastern Regional Physician Services's National Provider Identifier (NPI) is 1477780476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Regional Physician Services?
- Southeastern Regional Physician Services is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeastern Regional Physician Services located?
- Southeastern Regional Physician Services's practice location on file with NPPES is 9928 N. W. R. Lathan St., Clarkton, NC 28433.
- What is Southeastern Regional Physician Services's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Regional Physician Services is (910) 647-1503.
- Who is the authorized official for Southeastern Regional Physician Services?
- The authorized official listed on Southeastern Regional Physician Services's NPPES record is Charles Johnson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Regional Physician Services's NPI active?
- Yes — Southeastern Regional Physician Services's NPI (1477780476) is active in the NPPES registry as of the last update on 2009-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.