Southeastern Regional Physician Services
Southeastern Regional Physician Services is a healthcare organization registered as Rural Health Clinic/Center in Fairmont, NC, holding Type 2 (organization) NPI 1659508653 since 2009. The authorized official on file is Charles Johnson, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659508653 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Regional Physician Services |
| Other name | <Unavail> |
| Practice address | 101 N WALNUT ST, Fairmont, NC, 28340 |
| Phone | 9106280655 |
| Fax | 9107383764 |
| Enumeration date | 2009-06-17 |
| Last updated in NPPES | 2009-06-17 |
Authorized official
| Name | Charles Johnson |
|---|---|
| Title | Cfo |
| Phone | 9106715090 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | H0064 | NC |
Copy-ready billing details
Provider: Southeastern Regional Physician Services NPI: 1659508653 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 101 N WALNUT ST, Fairmont, NC, 28340
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780688119 | Eugenia Howie | Individual | Family Medicine Physician | Fairmont, NC |
| 1194720466 | Southeastern Regional Medical Center | Organization | Rural Health Clinic/Center | Fairmont, NC |
| 1790784619 | Diana Mckeithan | Individual | Family Nurse Practitioner | Fairmont, NC |
| 1811965692 | Aundrea Emanuel | Individual | Family Nurse Practitioner | Fairmont, NC |
| 1679081319 | Eulalia Barajas-Graham | Individual | Physician Assistant | Fairmont, NC |
Verify this record
Cross-check NPI 1659508653 against the authoritative CMS record: view Southeastern Regional Physician Services on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Southeastern Regional Physician Services located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-06-17.