Southeastern Speciality Clinic
Southeastern Speciality Clinic is a healthcare organization registered as Physician Assistant in Dunn, NC, holding Type 2 (organization) NPI 1861742462 since 2012. The authorized official on file is Theresa Clarke, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861742462 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Speciality Clinic |
| Practice address | 520 ERWIN ROAD, Dunn, NC, 28334 |
| Phone | 9102922066 |
| Fax | 9102922091 |
| Enumeration date | 2012-09-12 |
| Last updated in NPPES | 2012-09-12 |
Authorized official
| Name | Theresa Clarke |
|---|---|
| Title | Ceo |
| Phone | 9102922066 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | NC0726414 | NC |
Copy-ready billing details
Provider: Southeastern Speciality Clinic NPI: 1861742462 Taxonomy: 363A00000X (Physician Assistant) Address: 520 ERWIN ROAD, Dunn, NC, 28334
Verify this record
Cross-check NPI 1861742462 against the authoritative CMS record: view Southeastern Speciality Clinic 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
What is the NPI number for Southeastern Speciality Clinic?
Who is the authorized official for Southeastern Speciality Clinic?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-12.