THE SOUTHEAST PERMANENTE MEDICAL GROUP
NPI 1245266956
Internal Medicine in Atlanta, GA
About The Southeast Permanente Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE SOUTHEAST PERMANENTE MEDICAL GROUP (NPI 1245266956) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since June 2006. The organization lists Michael Doherty, Associate Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Southeast Permanente Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,382Medicare enrollment records show 1,382 clinicians reassign Medicare billing to The Southeast Permanente Medical Group, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 404 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 50
Nearest to this location (20)
See all 1,382Atlanta, GA 30305
Atlanta, GA 30305
Atlanta, GA 30305
Atlanta, GA 30342
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Southeast Permanente Medical Group's NPI number?
The NPI number for The Southeast Permanente Medical Group is 1245266956. It was assigned to this organization in the NPPES registry on June 24, 2006.
Where is The Southeast Permanente Medical Group located?
The Southeast Permanente Medical Group is located at 3495 Piedmont Road NE Nine Piedmont Center, Atlanta, GA 30305. The listed phone number is (404) 364-3821.
What is The Southeast Permanente Medical Group's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is The Southeast Permanente Medical Group enrolled in Medicare?
Yes. The Southeast Permanente Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Southeast Permanente Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,382 clinicians in 50 Medicare specialties reassign their Medicare billing to The Southeast Permanente Medical Group. 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 Internal Medicine (233), Family Practice (199) and Nurse Practitioner (148). Of these, 6 practice at this address and 404 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Southeast Permanente Medical Group was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# The Southeast Permanente Medical Group · NPI 1245266956
Internal Medicine organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1245266956 (Entity type: Organization)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Doherty, ASSOCIATE MEDICAL DIRECTOR
## Practice location
- **Address:** 3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, Atlanta, GA 30305-1773
- **Phone:** (404) 364-3821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,382 clinicians in 50 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (233), Family Practice (199), Nurse Practitioner (148); 6 practice at this address and 404 within 10 miles; [full list](https://npiprofile.com/npi/1245266956/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2017
- **Other identifiers:** Medicare ID-Type Unspecified GRP948
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Source: [NPI Profile](https://npiprofile.com/npi/1245266956) · Data from the CMS NPPES public registry.