Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southeastern Regional Physician Services

Urgent Care Clinic/Center in Pembroke, NC · enumerated 2009 · authorized official Charles Johnson, Cfo.

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

National Provider Identifier

1912134859

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Registry record

Entity type Organization (Type 2)

Legal business name Southeastern Regional Physician Services

Other name <Unavail>

Practice address 812 Candy Park Rd, Pembroke, NC, 28372

Phone (910) 521-0564

Fax (910) 738-3764

Enumeration date Jun 18, 2009

Last updated in NPPES Jun 18, 2009

Taxonomy & classification

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License H0064 (NC) Primary

Authorized official

Name Charles Johnson

Title Cfo

Phone (910) 671-5090

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

What type of organization is Southeastern Regional Physician Services?

Southeastern Regional Physician Services is registered in NPPES as a Urgent Care Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-18.