SOUTHEASTERN RHEUMATOLOGY ALLIANCE
NPI 1114795663
Internal Medicine - Rheumatology in Gainesville, GA
About Southeastern Rheumatology Alliance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN RHEUMATOLOGY ALLIANCE (NPI 1114795663) is a healthcare organization registered as a rheumatology in Gainesville, Georgia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through September 10, 2027, maintains 6 additional practice locations, and lists Michael Cullen, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeastern Rheumatology Alliance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Southeastern Rheumatology Alliance, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23Statesboro, GA 30458
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2065576
Southeastern Rheumatology Alliance · Watkinsville, GAFrequently 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 Southeastern Rheumatology Alliance's NPI number?
The NPI number for Southeastern Rheumatology Alliance is 1114795663. It was assigned to this organization in the NPPES registry on December 14, 2023.
Where is Southeastern Rheumatology Alliance located?
Southeastern Rheumatology Alliance is located at 700 S Enota Dr NE, Gainesville, GA 30501. The listed phone number is (770) 531-3711.
What is Southeastern Rheumatology Alliance's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Southeastern Rheumatology Alliance enrolled in Medicare?
Yes. Southeastern Rheumatology Alliance is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Rheumatology Alliance?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeastern Rheumatology Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Rheumatology (14), Nurse Practitioner (8) and Diagnostic Radiology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southeastern Rheumatology Alliance hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2065576) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeastern Rheumatology Alliance accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Southeastern Rheumatology Alliance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southeastern Rheumatology Alliance was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Southeastern Rheumatology Alliance · NPI 1114795663
Rheumatology organization in Gainesville, Georgia. Organization record, active in the CMS NPPES registry since December 14, 2023.
## Identity
- **NPI:** 1114795663 (Entity type: Organization)
- **Enumerated:** December 14, 2023
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **Organization subpart:** No
- **Authorized official:** Michael Cullen, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 700 S ENOTA DR NE, Gainesville, GA 30501-2403
- **Phone:** (770) 531-3711 · **Fax:** (678) 696-8386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Rheumatology (14), Nurse Practitioner (8), Diagnostic Radiology (1); 5 practice at this address; [full list](https://npiprofile.com/npi/1114795663/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114795663) · Data from the CMS NPPES public registry.