Organization Active NPI

Southern Pulmonary Center, P.a.

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1053400887
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHERN PULMONARY CENTER, P.A.
Practice address
900 Cox Rd
Ste B
Gastonia, NC 28054-3460
Phone
(704) 868-3411
Fax
(704) 865-9722
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacy Seeley
Title
Office Coordinator
Phone
(704) 868-3411

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

900 Cox Rd
Ste B
Gastonia, NC 28054-3460

Mailing address

PO Box 1886
Gastonia, NC 28053-1886
Phone (704) 868-3411

Other identifiers 1

IdentifierTypeStateIssuer
8930791MedicaidNC

National Provider Directory

National Provider Directory

Locations

900 Cox Rd
Ste B
Gastonia, NC 28054
Phone (704) 868-3411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053400887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280531886",
            "telephone_number": "704-868-3411",
            "fax_number": "704-865-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COX RD",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543460",
            "telephone_number": "704-868-3411",
            "fax_number": "704-865-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PULMONARY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SEELEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "704-868-3411"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930791",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.