NPIMap

Organization Active NPI

Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
National Provider Identifier
1255813119
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SOUTHEAST PHYSICIAN NETWORK, P.C.
Practice address
1410 McFarland Blvd N
Tuscaloosa, AL 35406-2209
Phone
(205) 345-8208
Fax
(205) 345-8209
NPI assigned
Sep 6, 2018
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Pamela Harper
Title
Credentialing
Phone
(205) 366-9740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

1410 McFarland Blvd N
Tuscaloosa, AL 35406-2209

Mailing address

509 Energy Center Blvd Ste 804
Northport, AL 35473-2798
Phone (205) 366-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126001020 AL DME Supplier - Physician - Hematology/Oncology 0840337721 Practice locations: Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

171 Town Center Dr
#6
Anniston, AL 36205
Phone (256) 847-3369

300 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 271-4249

291 James Payton Blvd
Sylacauga, AL 35150
Phone (256) 245-0297

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1255813119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ENERGY CENTER BLVD STE 804",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732798",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062209",
            "telephone_number": "205-345-8208",
            "fax_number": "205-345-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PHYSICIAN NETWORK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "205-366-9740"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.