NPIMap

Organization Active NPI

Southeastern Rheumatology Alliance

Doing business as Arthritis & Rheumatology of Georgia

  • Rheumatology Physician
  • Atlanta, GA
National Provider Identifier
1043088495
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Doing business as
Arthritis & Rheumatology of Georgia
Practice address
980 Johnson Fy Rd NE Ste 220
Atlanta, GA 30342-1623
Phone
(404) 255-5956
Fax
(404) 255-3908
NPI assigned
Dec 14, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTERN RHEUMATOLOGY ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Michael Cullen
Title
Practice Administrator
Phone
(770) 531-3711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

980 Johnson Fy Rd NE Ste 220
Atlanta, GA 30342-1623

Mailing address

700 S Enota Dr NE
Gainesville, GA 30501-2403
Phone (770) 531-3711

Other names 1

  • ARTHRITIS & RHEUMATOLOGY OF GEORGIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Rheumatology Alliance7 organizations share this tax ID, including this one
Part of
Southeastern Rheumatology Alliance

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-4084

110 Rushing Ln
#B
Statesboro, GA 30458
Phone (912) 210-0276

1715 Resurgence Dr
Ste 201
Watkinsville, GA 30677
Phone (706) 410-9270

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1043088495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012403",
            "telephone_number": "770-531-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421623",
            "telephone_number": "404-255-5956",
            "fax_number": "404-255-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN RHEUMATOLOGY ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN RHEUMATOLOGY ALLIANCE",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-531-3711"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHRITIS & RHEUMATOLOGY OF GEORGIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARTHRITIS & RHEUMATOLOGY OF GEORGIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.