Southeast Medical Center LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SOUTHEAST MEDICAL CENTER LLC

Practice address

3320 Skyway Dr Ste 807
Opelika, AL 36801-7141

Phone

(334) 539-1770

Fax

(334) 539-1775

NPI assigned

Jul 18, 2014

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chima Ukachi, M.DNPI 1104034339

Title

Ceo

Phone

(301) 385-8664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9631/brand/1/csg/1/fhir/r4
• FHIR API: https://arrprd.southeasthealth.org/FHIR/api/FHIR/R4/

Practitioners 1

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.

• Chima Austin Ukachi, M.D

  • Family Medicine Physician
  • Opelika, AL
  • NPI 1104034339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1093122384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 807",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "334-539-1770",
            "fax_number": "334-539-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 807",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "334-539-1770",
            "fax_number": "334-539-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "UKACHI",
        "authorized_official_first_name": "CHIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-385-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherylyn Ware Smith
• Stephen Andrew Smith Sr., RPH
• Steven Smith, LPC
• Zachary Smith, DO
• Elizabeth Sherwood Sosebee, CRNP
• Southeastern Psychiatric Management, Inc. (GrandView Behavioral Health Center)
• Southern Eye Care Associates LLC (Whatley Eye Care)
• Southern Home Care Services, Inc.
• Southern Ketamine and Wellness, LLC
• Southerncare Inc (SouthernCare Opelika)

• Urgent Care Clinic/Center in Opelika, AL
• Providers in Opelika, AL by specialty
• Urgent Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.