SOUTHEASTERN RHEUMATOLOGY ALLIANCE
NPI 1114795663
Internal Medicine - Rheumatology in Gainesville, GA

NPI Status: Active since December 14, 2023

Contact Information

700 S ENOTA DR NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 531-3711
Fax: (678) 696-8386

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  • Organization
  • Internal Medicine
  • Rheumatology
  • Accepts Insurance
  • CLIA Number: 11D2065576
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-10-2027

About SOUTHEASTERN RHEUMATOLOGY ALLIANCE

This page provides the complete NPI Profile along with additional information for Southeastern Rheumatology Alliance, an internist established in Gainesville, Georgia operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1114795663 assigned on December 2023. The practitioner's primary taxonomy code is 207RR0500X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Cullen (Practice Administrator)

NPI
1114795663
Provider Name
SOUTHEASTERN RHEUMATOLOGY ALLIANCE
Entity Type
Organization
Location Address
700 S ENOTA DR NE GAINESVILLE, GA 30501
Location Phone
(770) 531-3711
Location Fax
(678) 696-8386
Mailing Address
700 S ENOTA DR NE GAINESVILLE, GA 30501
Mailing Phone
(770) 531-3711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2023
Last Update Date
04-07-2025
Code Navigator

An internist like Southeastern Rheumatology Alliance is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1715 RESURGENCE DRIVE Suite 201
    WATKINSVILLE, GA 30677
    (706) 410-9270
  • 980 Johnson Fy Rd NE Ste 220
    Atlanta, GA 30342
    (404) 255-5956
  • 23 Plantation Park Dr Ste 101
    Bluffton, SC 29910
    (912) 349-4227
  • 5400 Waters Ave
    Savannah, GA 31404
    (912) 349-4227
  • 1816 Eagle Dr Ste 200-B
    Woodstock, GA 30189
    (404) 255-5956
  • 110 Rushing Ln Ste B
    Statesboro, GA 30458
    (912) 210-0276

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL CULLEN

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(770) 531-3711

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2065576
Facility Type
Physician Office
Certificate Effective Date
September 11, 2025
Certificate Expiration Date
September 10, 2027
Laboratory Director
WILLIAM A. CHAFIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southeastern Rheumatology Alliance to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTHEASTERN RHEUMATOLOGY ALLIANCE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114795663, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 4 + 9 + 1 + 0 + 6 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114795663.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Chiropractor
700 S ENOTA DR NE, SUITE 201
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Physician Assistant
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Physician Assistant (Medical)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Physician Assistant
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
700 S ENOTA DR NE
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114795663, enumerated as an "organization" on December 14, 2023.

The provider is located at 700 S ENOTA DR NE GAINESVILLE, GA 30501 and the phone number is (770) 531-3711.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.