OrganizationActive
Southeastern Regional Physician Services
NPI 1699902650 · Clinic/Center · Lumberton, NC
Southeastern Regional Physician Services is a Clinic/Center organization in Lumberton, NC (NPI 1699902650).
Provider details
- NPI number
- 1699902650
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Johnson, Credentialing Specialist(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
4300 Fayetteville Rd
Lumberton, NC 28358-2677
Phone: (910) 671-8556
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
- Lumberton Diabetes & Arthritis Clinic
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 1699902650, 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 4300 Fayetteville Rd, Lumberton, NC 28358-2677.
- 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) 671-8556.
- 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, Credentialing Specialist. 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 (1699902650) 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.