Southeastern Medical Center, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

9401258 Issued in NC

Legal business name

SOUTHEASTERN MEDICAL CENTER, P.C.

Practice address

700 Tilghman Dr
Suite720
Dunn, NC 28334-0007

Phone

(910) 892-4941

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Misti Suzanne Phillips, RMM

Title

Office Manager

Phone

(910) 892-4941

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Dale Page, PA-C

  • Medical Physician Assistant
  • Dunn, NC
  • NPI 1265548671
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1811900178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TILGHMAN DR",
            "address_2": "SUITE720",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283340007",
            "telephone_number": "910-892-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TILGHMAN DR",
            "address_2": "SUITE720",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283340007",
            "telephone_number": "910-892-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-892-4941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9401258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Yabes Skulavik, PA
• Evelyn Patrick Slee, D.O.
• Camille Blue Smith
• Clifton Curtis Smith
• Lori Ann Sneeringer, PTA
• Southeastern Speciality Clinic
• Southmountain Children and Family Services
• Christiana Spears
• Shirley Jean Spears, SOCIAL WORKER
• Jonathan Banning Spivey, CRNA

• Specialist in Dunn, NC
• Providers in Dunn, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.