SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
NPI 1427282045
Clinic/Center - Multi-Specialty in Lumberton, NC

NPI Status: Active since May 11, 2009

Contact Information

2002 N CEDAR ST STE B
LUMBERTON, NC
ZIP 28358
Phone: (910) 272-3048
Fax: (910) 738-3764

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for Southeastern Regional Physician Services, a provider established in Lumberton, North Carolina operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427282045 assigned on May 2009. The practitioner's primary taxonomy code is 261QM1300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Charles T. Johnson Iii (Cfo)

NPI
1427282045
Provider Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Entity Type
Organization
Location Address
2002 N CEDAR ST STE B LUMBERTON, NC 28358
Location Phone
(910) 272-3048
Location Fax
(910) 738-3764
Mailing Address
2002 N CEDAR ST STE B LUMBERTON, NC 28358
Mailing Phone
(910) 272-3048
Mailing Fax
(910) 738-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2009
Last Update Date
10-08-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

H0064 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES T. JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
344638CMEDICAID (05)NC 
344641CMEDICAID (05)NC 
5914047MEDICAID (05)NC 
5914050MEDICAID (05)NC 
344639CMEDICAID (05)NC 
344641AMEDICAID (05)NC 
5914043MEDICAID (05)NC 
5914048MEDICAID (05)NC 
022WROTHER (01)NCBCBS
022WTOTHER (01)NCBCBS
344647CMEDICAID (05)NC 
348961CMEDICAID (05)NC 
5913422MEDICAID (05)NC 
5914044MEDICAID (05)NC 
5914049MEDICAID (05)NC 
5914051MEDICAID (05)NC 
5917766MEDICAID (05)NC 
023R1OTHER (01)NCBCBS
344639AMEDICAID (05)NC 
344642AMEDICAID (05)NC 
348954AMEDICAID (05)NC 
344642CMEDICAID (05)NC 
5914045MEDICAID (05)NC 
5917954MEDICAID (05)NC 
022WGOTHER (01)NCBCBS
022WUOTHER (01)NCBCBS
025F5OTHER (01)NCBCBS
344647AMEDICAID (05)NC 
5918279MEDICAID (05)NC 
5921524MEDICAID (05)NC 
022WPOTHER (01)NCBCBS
344638AMEDICAID (05)NC 
348954CMEDICAID (05)NC 
348961AMEDICAID (05)NC 
5916164MEDICAID (05)NC 
022WNOTHER (01)NCBCBS
5914168MEDICAID (05)NC 
5914429MEDICAID (05)NC 
5917135MEDICAID (05)NC 
5917396MEDICAID (05)NC 

Reviews for SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427282045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244748408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 8 + 4 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1427282045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982037578SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Physician Assistant (Medical)2002 N CEDAR ST STE B
LUMBERTON, NC 28358
(910) 671-5600
1386077790SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Physician Assistant (Medical)2002 N CEDAR ST STE B
LUMBERTON, NC 28358
(910) 671-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427282045, enumerated in the NPI registry as an "organization" on May 11, 2009

The provider is located at 2002 N Cedar St Ste B Lumberton, Nc 28358 and the phone number is (910) 272-3048

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 11, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.