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

Active since December 14, 2023CLIA 11D2065576 · Waiver
700 S ENOTA DR NE, GAINESVILLE, GA 30501(770) 531-3711(678) 696-8386 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Dec 17, 2024, Aug 20, 2024 and 1 more (4 updates tracked since 2023).

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

NPI1114795663
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameSOUTHEASTERN RHEUMATOLOGY ALLIANCE
Location Address700 S ENOTA DR NEGainesville, GA 30501-2403
Mailing Address700 S Enota Dr NeGainesville, GA 30501-2403 · (770) 531-3711
Fax(678) 696-8386
Organization SubpartNo
Authorized OfficialMichael CullenPractice Administrator · (770) 531-3711
Enumeration DateDecember 14, 2023
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1114795663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
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.
700 S ENOTA DR NE, Gainesville, GA 30501

Secondary Practice Locations 6

Location 11715 RESURGENCE DRIVE, Suite 201WATKINSVILLE, GA 30677-7306 · Phone (706) 410-9270
Location 223 Plantation Park Dr Ste 101Bluffton, SC 29910-6072 · Phone (912) 349-4227
Location 35400 Waters AveSavannah, GA 31404-6234 · Phone (912) 349-4227
Location 4980 Johnson Fy Rd NE Ste 220Atlanta, GA 30342-1623 · Phone (404) 255-5956
Location 51816 Eagle Dr Ste 200-BWoodstock, GA 30189-8274 · Phone (404) 255-5956
Location 6110 Rushing Ln Ste BStatesboro, GA 30458-6027 · Phone (912) 210-0276 · Fax (912) 428-7201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, GA
Active · expires Sep 10, 2027
CLIA Number11D2065576
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorWilliam A. Chafin
Laboratory Phone(706) 410-9270
Laboratory LocationSoutheastern Rheumatology Alliance1715 Resurgence Drive, Suite 201, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

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
Physician Assistant
700 S ENOTA DR NE
GAINESVILLE, GA 30501

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 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.

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 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 16 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.