Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4th Medgrp-Seymour Johnson

Organization Military/U.S. Coast Guard Outpatient Clinic/Center · NPI 1831173558

4th Medgrp-Seymour Johnson is a Military/U.S. Coast Guard Outpatient Clinic/Center in Seymour Johnson AFB, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
3

Practice location Address checks out

2803 Medical Campus Dr
Seymour Johnson AFB, NC 27531-2310
Phone: (919) 722-8257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Outpatient Clinic/Center (primary) Taxonomy 261QM1100X (NC)
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Taxonomy 261QM1101X (NC)
Military/U.S. Coast Guard Pharmacy Taxonomy 332000000X

Record details

NPI number1831173558
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization4th Medgrp-Seymour Johnson
Authorized official Jen Lewandowski — Dha Ubo · (703) 817-4030
NPI enumeratedDecember 6, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531