The Southeast Permanente Medical Group
NPI 1245266956 · Internal Medicine Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Southeast Permanente Medical Group is a Internal Medicine Physician organization in Atlanta, GA (NPI 1245266956).
Provider details
- NPI number
- 1245266956
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Doherty, Associate Medical Director(404) 364-2245
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2017-07-18
Frequently asked questions
- What is The Southeast Permanente Medical Group's NPI number?
- The Southeast Permanente Medical Group's National Provider Identifier (NPI) is 1245266956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Southeast Permanente Medical Group?
- The Southeast Permanente Medical Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is The Southeast Permanente Medical Group located?
- The Southeast Permanente Medical Group's practice location on file with NPPES is 3495 Piedmont Road Ne, Atlanta, GA 30305-1773.
- What is The Southeast Permanente Medical Group's phone number?
- The practice phone number listed in the NPPES registry for The Southeast Permanente Medical Group is (404) 364-3821.
- Does The Southeast Permanente Medical Group accept Medicare?
- The Southeast Permanente Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Southeast Permanente Medical Group?
- The authorized official listed on The Southeast Permanente Medical Group's NPPES record is Michael Doherty, Associate Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Southeast Permanente Medical Group's NPI active?
- Yes — The Southeast Permanente Medical Group's NPI (1245266956) is active in the NPPES registry as of the last update on 2017-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.