THE SOUTHEAST PERMANENTE MEDICAL GROUP - NPI 1245266956

Q: What is The Southeast Permanente Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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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

NPI1245266956

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHE SOUTHEAST PERMANENTE MEDICAL GROUP

Location Address3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTERAtlanta, GA 30305-1773

Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1773 · (404) 364-3821

Phone(404) 364-3821

Organization SubpartNo

Authorized OfficialMichael DohertyAssociate Medical Director · (404) 364-2245

Enumeration DateJune 24, 2006

Last NPPES UpdateJuly 18, 2017

✔ NPI 1245266956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

3495 PIEDMONT ROAD NE, Atlanta, GA 30305

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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP948Group Medicare Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

CHRISTIANAH KOLAJO PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3495 PIEDMONT ROAD NE, PHARMACY ADMINISTRATION, BUILDING 10
ATLANTA, GA 30305

Fulton County (404) 772-2166

CHARLES P ELLINGTON III MD

Obstetrics & Gynecology

3495 PIEDMONT ROAD NE, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
ATLANTA, GA 30305

Fulton County (404) 364-7000

GAIL C RICHARDSON CNP

Nurse Practitioner (Family)

3495 PIEDMONT ROAD NE, DEPARTMENT OF MEDICINE
ATLANTA, GA 30305

Fulton County (404) 364-7000

CAROLE S GARDNER MD

Family Medicine (Geriatric Medicine)

3495 PIEDMONT ROAD NE, MEDICAL OFFICES ADMINISTRATION
ATLANTA, GA 30305

Fulton County (404) 364-7000

MIGUEL ORTIZ

Social Worker (Clinical)

3495 PIEDMONT ROAD NE
ATLANTA, GA 30305

Fulton County (404) 364-7000

RHODA K SHARP MD MBA

Internal Medicine

3495 PIEDMONT ROAD NE, MEDICAL OFFICIES ADMINISTRATION
ATLANTA, GA 30305

Fulton County (404) 364-7000

DR. DEBORAH L BAKER PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3495 PIEDMONT ROAD NE
ATLANTA, GA 30305

Fulton County (404) 365-4629

SARA H MITCHELL CNP

Pediatrics

3495 PIEDMONT ROAD NE, DEPARTMENT OF AFTER HOURS
ATLANTA, GA 30305

Fulton County (404) 364-7000

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.

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.