Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southeastern Regional Medical Center

Clinic/Center in Clarkton, NC · enumerated 2008 · authorized official Charles Johnson, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033396155

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Southeastern Regional Medical Center

Other name <Unavail>

Practice address 9928 N. W.R. Lathan Street, Clarkton, NC, 28433

Phone (910) 272-3051

Fax (910) 738-3764

Enumeration date Jan 31, 2008

Last updated in NPPES Jan 27, 2009

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License H0064 (NC) Primary

Authorized official

Name Charles Johnson

Title Cfo

Phone (910) 671-5090

Other identifiers

Identifier	Type	State	Issuer
020EH	Other	NC	BCBS
5908813	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-27. Verify at npiregistry.cms.hhs.gov.

Where is Southeastern Regional Medical Center located?

The practice location on file with NPPES is in Clarkton, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-27.