OrganizationActive
Southeastern Specialist Clinic
NPI 1487632873 · Specialist · Gastonia, NC
Southeastern Specialist Clinic is a Specialist organization in Gastonia, NC (NPI 1487632873).
Provider details
- NPI number
- 1487632873
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- John Miles, President/Owner(704) 867-8975
- License
- 19633 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
825 Majestic Ct
Suite F
Gastonia, NC 28054-5186
Phone: (704) 867-8975
Fax: (704) 867-8353
Street-level locationGet directions
Mailing address
825 Majestic Court
Gastonia, NC 28054
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeastern Specialist Clinic's NPI number?
- Southeastern Specialist Clinic's National Provider Identifier (NPI) is 1487632873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Specialist Clinic?
- Southeastern Specialist Clinic is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southeastern Specialist Clinic located?
- Southeastern Specialist Clinic's practice location on file with NPPES is 825 Majestic Ct, Gastonia, NC 28054-5186.
- What is Southeastern Specialist Clinic's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Specialist Clinic is (704) 867-8975.
- Who is the authorized official for Southeastern Specialist Clinic?
- The authorized official listed on Southeastern Specialist Clinic's NPPES record is John Miles, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Specialist Clinic's NPI active?
- Yes — Southeastern Specialist Clinic's NPI (1487632873) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.