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

Active since November 09, 2016
3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022(770) 442-1911(770) 442-0306 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2024, May 22, 2023, Dec 28, 2021 and 1 more (4 updates tracked since 2016).

About Southeast Medical Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MEDICAL GROUP, P.C. (NPI 1558803486) is a healthcare organization registered as a medical in Alpharetta, Georgia and active in the NPI registry since November 2016. The organization lists Michelle Schwei, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1558803486
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSOUTHEAST MEDICAL GROUP, P.C.
Location Address3905 BROOKSIDE PKWY STE 300Alpharetta, GA 30022-4458
Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102 · (770) 442-9111
Phone(770) 442-1911
Fax(770) 442-0306
Organization SubpartNo
Authorized OfficialMichelle SchweiDirector Of Credentialing · (770) 518-4406
Enumeration DateNovember 9, 2016
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1558803486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 8199
3905 BROOKSIDE PKWY STE 300, Alpharetta, GA 30022
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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

Other Providers at the Same Location NPPES 20

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

MRS. LUCE W. SOLARI-SUPRENA ARNP, FNP-BC
Nurse Practitioner (Primary Care)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
JENNIFER SADDANATHAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
GINA LEEANN BAUKNECHT FNP-C
Nurse Practitioner (Family)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
DR. SATISHKUMAR MUDDURANGANATH GANJAM MD
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
MRS. JENNIFER LYNN KAMRASS APRN, FNP-C
Nurse Practitioner (Family)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
SOUTHEAST MEDICAL GROUP, P.C.
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
CHUNG YOON M.D.
Internal Medicine (Cardiovascular Disease)
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911
DR. DANIELLE WILLIAMSON LIN MD
Family Medicine
3905 BROOKSIDE PKWY STE 300
ALPHARETTA, GA 30022
Fulton County (770) 442-1911

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 Southeast Medical Group, P.C.'s NPI number?

The NPI number for Southeast Medical Group, P.C. is 1558803486. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Southeast Medical Group, P.C. located?

Southeast Medical Group, P.C. is located at 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022. The listed phone number is (770) 442-1911.

What is Southeast Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Southeast Medical Group, P.C. was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.