Southeast Medical Group, P.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8199 Issued in GA

Legal business name

SOUTHEAST MEDICAL GROUP, P.C.

Practice address

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458

Phone

(770) 442-1911

Fax

(770) 442-0306

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Michelle Schwei, CPCS, CPMSM

Title

Director of Credentialing

Phone

(770) 518-4406

Specialties & licenses 1

Addresses

Tax ID family

North Fulton Family Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1891666210
  NPD tax ID

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1558803486",
    "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": "770-442-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224458",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "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, CPMSM"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soteria Healthcare Network, Inc.
• Soul Medical Transport LLC
• South Forsyth Family Medicine and Pediatrics LLC
• South Forsyth Wellness LLC
• Southeast Medical Group, P.C.
• Southeast Oral Diagnostics LLC
• Southeast Primary Care Medical Group - Alabama LLC
• Southern Coast Transit LLC
• Southern Foot and Ankle Institute LLC
• Southern Neurophysiology

• Medical Physician Assistant in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.