Organization Active NPI

Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1891666210
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST MEDICAL GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2276549Southeast Medical Group1460 2ND Avenue SW, Suite a, Jacksonville, AL 36265Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
N Fulton Family Medicin2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.