THE SOUTHEAST PERMANENTE MEDICAL GROUP
NPI 1245266956
Internal Medicine in Atlanta, GA

NPI Status: Active since June 24, 2006

Contact Information

3495 PIEDMONT ROAD NE
NINE PIEDMONT CENTER
ATLANTA, GA
ZIP 30305
Phone: (404) 364-3821

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  • Organization
  • Internal Medicine

About THE SOUTHEAST PERMANENTE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for The Southeast Permanente Medical Group, an internist established in Atlanta, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1245266956 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The Southeast Permanente Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael Doherty (Associate Medical Director)

NPI
1245266956
Provider Name
THE SOUTHEAST PERMANENTE MEDICAL GROUP
Entity Type
Organization
Location Address
3495 PIEDMONT ROAD NE NINE PIEDMONT CENTER ATLANTA, GA 30305
Location Phone
(404) 364-3821
Mailing Address
3495 PIEDMONT RD NE NINE PIEDMONT CENTER ATLANTA, GA 30305
Mailing Phone
(404) 364-3821
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2006
Last Update Date
07-18-2017
Code Navigator

An internist like The Southeast Permanente Medical Group 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.

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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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
72085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
8208600000XAllopathic & Osteopathic Physicians

Surgery

 
9208800000XAllopathic & Osteopathic Physicians

Urology

 
10208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 
11213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
12363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
13363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
14367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. MICHAEL DOHERTY

Authorized Official Title
ASSOCIATE MEDICAL DIRECTOR
Authorized Official Phone
(404) 364-2245

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP948MEDICARE ID-TYPE UNSPECIFIED (04)GROUP MEDICARE NUMBER

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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 1245266956, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 4 + 6 + 1 + 2 + 9 + 1 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245266956.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
3495 PIEDMONT ROAD NE, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
ATLANTA, GA 30305
Pediatrics
3495 PIEDMONT ROAD NE, DEPARTMENT OF AFTER HOURS
ATLANTA, GA 30305
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3495 PIEDMONT ROAD NE
ATLANTA, GA 30305
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3495 PIEDMONT ROAD NE, PHARMACY ADMINISTRATION, BUILDING 10
ATLANTA, GA 30305
Family Medicine (Geriatric Medicine)
3495 PIEDMONT ROAD NE, MEDICAL OFFICES ADMINISTRATION
ATLANTA, GA 30305
Internal Medicine
3495 PIEDMONT ROAD NE, MEDICAL OFFICIES ADMINISTRATION
ATLANTA, GA 30305
Social Worker (Clinical)
3495 PIEDMONT ROAD NE
ATLANTA, GA 30305
Nurse Practitioner (Family)
3495 PIEDMONT ROAD NE, DEPARTMENT OF MEDICINE
ATLANTA, GA 30305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245266956, enumerated as an "organization" on June 24, 2006.

The provider is located at 3495 PIEDMONT ROAD NE NINE PIEDMONT CENTER ATLANTA, GA 30305 and the phone number is (404) 364-3821.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.