NPIMap

Organization Active NPI

Southeastern Rheumatology Alliance

Doing business as Coastal Rheumatology Associates

  • Rheumatology Physician
  • Bluffton, SC
National Provider Identifier
1205604659
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Doing business as
Coastal Rheumatology Associates
Coastal Rheumatology Specialty
Practice address
23 Plantation Park Dr Ste 101
Bluffton, SC 29910-6072
Phone
(912) 349-4227
Fax
(912) 349-4457
NPI assigned
Dec 14, 2023
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEASTERN RHEUMATOLOGY ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 Physician 207RR0500X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

23 Plantation Park Dr Ste 101
Bluffton, SC 29910-6072

Mailing address

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

Other names 2

  • COASTAL RHEUMATOLOGY ASSOCIATES Doing business as
  • Coastal Rheumatology Specialty 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

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": "1747612800000",
    "number": "1205604659",
    "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": "23 PLANTATION PARK DR STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106072",
            "telephone_number": "912-349-4227",
            "fax_number": "912-349-4457"
        }
    ],
    "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": "2025-05-19",
        "certification_date": "2025-05-19",
        "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": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL RHEUMATOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Rheumatology Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.