SOUTHEAST MEDICAL GROUP, P.C.
NPI 1558803486
Physician Assistant - Medical in Alpharetta, GA

NPI Status: Active since November 09, 2016

Contact Information

3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA
ZIP 30022
Phone: (770) 442-1911
Fax: (770) 442-0306

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Physician Assistant
Medical
CLIA Number: 11D2287771
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 08-16-2027

About SOUTHEAST MEDICAL GROUP, P.C.

This page provides the complete NPI Profile along with additional information for Southeast Medical Group, P.c., a primary care provider established in Alpharetta, Georgia operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1558803486 assigned on November 2016. The practitioner's primary taxonomy code is 363AM0700X with license number 8199 (GA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Schwei Cpcs, Cpmsm (Director Of Credentialing)

NPI: 1558803486
Provider Name: SOUTHEAST MEDICAL GROUP, P.C.
Entity Type: Organization
Location Address: 3905 BROOKSIDE PKWY STE 300 ALPHARETTA, GA 30022
Location Phone: (770) 442-1911
Location Fax: (770) 442-0306
Mailing Address: 4300 N POINT PKWY STE 300 ALPHARETTA, GA 30022
Mailing Phone: (770) 442-9111
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-09-2016
Last Update Date: 08-08-2024
Code Navigator

A primary care provider (PCP) like Southeast Medical Group, P.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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: Physician Assistant Medical
Taxonomy Code: 363AM0700X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 8199
License State: GA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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: MICHELLE SCHWEI CPCS, CPMSM
Authorized Official Title: DIRECTOR OF CREDENTIALING
Authorized Official Phone: (770) 518-4406

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 11D2287771
Facility Type: Physician Office
Certificate Effective Date: August 17, 2025
Certificate Expiration Date: August 16, 2027
Laboratory Director: APPAVUCHETTY SOUNDAPPAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Southeast Medical Group, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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 1558803486, 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 5 → 10 → 1 8 → 16 → 7 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 6 + 0 + 6 + 4 + 1 + 6 + 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 1558803486.