Active NPI
Southeast Primary Care Medical Group - Alabama LLC
- Family Medicine Physician
- Alpharetta, GA
National Provider Identifier
1376223859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTHEAST PRIMARY CARE MEDICAL GROUP - ALABAMA LLC
- Practice address
- 4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102 - Phone
- (770) 442-1911
- NPI assigned
- Jul 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Schwei, CPCS
- Title
- Director of Credentialing
- Phone
- (770) 518-4406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Mailing address
4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (770) 442-1911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1831172410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1376223859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N POINT PKWY STE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224102",
"telephone_number": "770-442-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N POINT PKWY STE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224102",
"telephone_number": "770-442-1911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST PRIMARY CARE MEDICAL GROUP - ALABAMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "SCHWEI",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "770-518-4406",
"authorized_official_credential": "CPCS"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
- South Forsyth Family Medicine and Pediatrics LLC
- South Forsyth Wellness LLC
- Southeast Medical Group, P.C.
- Southeast Medical Group, P.C.
- Southeast Oral Diagnostics LLC
- Southern Coast Transit LLC
- Southern Foot and Ankle Institute LLC
- Southern Neurophysiology
- Southern Physician Practice Group PC
- Southerncare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.