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MEDICAL CONSULTANTS OF SOUTHEAST
NPI 1104084409
Clinic/Center in Fayetteville, GA

Active since May 23, 2008
1415 HIGHWAY 85 N, SUITE 310-384, FAYETTEVILLE, GA 30214(404) 556-1114 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Consultants Of Southeast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL CONSULTANTS OF SOUTHEAST (NPI 1104084409) is a healthcare organization registered as a clinic/center in Fayetteville, Georgia and active in the NPI registry since May 2008. The organization lists Joseph W. Williams, President, as its authorized official.

NPPES Registry Identity

NPI1104084409
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDICAL CONSULTANTS OF SOUTHEAST
Location Address1415 HIGHWAY 85 N, SUITE 310-384Fayetteville, GA 30214-4035
Mailing Address1415 Highway 85 N, Suite 310-384Fayetteville, GA 30214-4035 · (404) 556-1114
Phone(404) 556-1114
Organization SubpartNo
Authorized OfficialJoseph W. WilliamsPresident · (404) 556-1114
Enumeration DateMay 23, 2008
✔ NPI 1104084409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · 013102
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1415 HIGHWAY 85 N, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC
Pain Medicine (Interventional Pain Medicine)
1415 HIGHWAY 85 N, SUITE 310-314
FAYETTEVILLE, GA 30214
Fayette County (866) 476-8913
QUANTIYANNA GASKINS
Speech-Language Pathologist
1415 HIGHWAY 85 N, 310-261
FAYETTEVILLE, GA 30214
Fayette County (678) 499-6028
YOLANDA DUNN
Social Worker (Clinical)
1415 HIGHWAY 85 N
FAYETTEVILLE, GA 30214
Fayette County (336) 653-0317
TASHI POWELL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1415 HIGHWAY 85 N
FAYETTEVILLE, GA 30214
Fayette County (404) 397-8701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Consultants Of Southeast's NPI number?

The NPI number for Medical Consultants Of Southeast is 1104084409. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Medical Consultants Of Southeast located?

Medical Consultants Of Southeast is located at 1415 Highway 85 N Suite 310-384, Fayetteville, GA 30214. The listed phone number is (404) 556-1114.

What is Medical Consultants Of Southeast's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medical Consultants Of Southeast was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.