Active NPI
Southeast Medical Group, P.C.
- Family Medicine Physician
- Tuscaloosa, AL
National Provider Identifier
1891666210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTHEAST MEDICAL GROUP, P.C.
- Practice address
- 7005 6TH Ave
Tuscaloosa, AL 35405-3990 - Phone
- (205) 345-4862
- NPI assigned
- Sep 17, 2025
- Last updated
- Sep 17, 2025
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST MEDICAL GROUP, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine M Auyeung
- Title
- Director
- Phone
- (470) 704-3634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
7005 6TH Ave
Tuscaloosa, AL 35405-3990
Mailing address
4300 Northpoint Pkwy Ste 300
Alpharetta, GA 30022-4102
Phone (470) 704-3634
Other practice location 1
1612 US-78 East
Oxford, AL 36203
Phone (256) 835-4756
Other practice location 2
1460A 2nd Ave SW # A
Jacksonville, AL 36265-3358
Phone (256) 435-2180
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2276549 | Southeast Medical Group | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- N Fulton Family Medicin
- Part of
- N Fulton Family Medicin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Physician Assistant
- Alpharetta, GA
- NPI 1558803486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1891666210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 NORTHPOINT PKWY STE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224102",
"telephone_number": "470-704-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 6TH AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053990",
"telephone_number": "205-345-4862"
}
],
"practiceLocations": [
{
"address_1": "1612 US-78 East",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "AL",
"postal_code": "36203",
"country_code": "US",
"telephone_number": "256-835-4756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1460A 2nd Ave SW # A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AL",
"postal_code": "362653358",
"country_code": "US",
"telephone_number": "256-435-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHEAST MEDICAL GROUP, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST MEDICAL GROUP, P.C.",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "AUYEUNG",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "470-704-3634"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Soul Therapy LLC
- Southcare Medical Facility Inc
- Southeast Cancer Network, Inc
- Southeast Cancer Network, Inc.
- Southeast Hospice Equipment Company Inc
- Southeast Medical, Inc. (ABC Home Medical Supply, Inc.)
- Southeast Physician Network, LLC
- Southeast Physician Network, P.C.
- Southeast Physician Network, P.C.
- Southeastern Hearing Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.