OrganizationActive
Medical Consultants of Southeast
NPI 1104084409 · Clinic/Center · Fayetteville, GA
Provider details
- NPI number
- 1104084409
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Williams, President(404) 556-1114
- License
- 013102 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 Highway 85 N
Suite 310-384
Fayetteville, GA 30214-4035
Phone: (404) 556-1114
Street-level locationGet directions
Mailing address
1415 Highway 85 N
Fayetteville, GA 30214-4035
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.