NPIMap

Organization Active NPI

Southeastern Rheumatology Alliance

  • Rheumatology Physician
  • Watkinsville, GA
National Provider Identifier
1811765142
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Practice address
1715 Resurgence Dr Ste 201
Watkinsville, GA 30677-7321
Phone
(770) 531-3711
Fax
(770) 531-3718
NPI assigned
Dec 15, 2023
Organization subpart
Yes
Parent organization
SOUTHEASTERN RHEUMATOLOGY ALLIANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1715 Resurgence Dr Ste 201
Watkinsville, GA 30677-7321

Mailing address

961 Smoky MTN SPGS LN NE Ste a
Gainesville, GA 30501-2418
Phone (770) 531-3711

Other names 1

  • ARTHRITIS CENTER OF NORTH 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.

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.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1811765142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SMOKY MTN SPGS LN NE STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012418",
            "telephone_number": "770-531-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 RESURGENCE DR STE 201",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777321",
            "telephone_number": "770-531-3711",
            "fax_number": "770-531-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN RHEUMATOLOGY ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN RHEUMATOLOGY ALLIANCE",
        "enumeration_date": "2023-12-15",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "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 CENTER OF NORTH GEORGIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARTHRITIS CENTER OF NORTH GEORGIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.