Southeastern Regional Medical Center
NPI 1710979430 · Rural Health Clinic/Center · Saint Pauls, NC
Southeastern Regional Medical Center is a Rural Health Clinic/Center organization in Saint Pauls, NC (NPI 1710979430).
Provider details
- NPI number
- 1710979430
- Entity type
- Organization
- Primary specialty
- Rural Health 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- St Pauls Medical Clinic
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2009-01-27
Frequently asked questions
- What is Southeastern Regional Medical Center's NPI number?
- Southeastern Regional Medical Center's National Provider Identifier (NPI) is 1710979430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Regional Medical Center?
- Southeastern Regional Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeastern Regional Medical Center located?
- Southeastern Regional Medical Center's practice location on file with NPPES is 128 E Broad St, Saint Pauls, NC 28384-1610.
- What is Southeastern Regional Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Regional Medical Center is (910) 865-5955.
- Who is the authorized official for Southeastern Regional Medical Center?
- The authorized official listed on Southeastern Regional Medical Center'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 Medical Center's NPI active?
- Yes — Southeastern Regional Medical Center's NPI (1710979430) is active in the NPPES registry as of the last update on 2009-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.