THE SOUTHEAST PERMANENTE MEDICAL GROUP
NPI 1245266956
Internal Medicine in Atlanta, GA
NPI Status: Active since June 24, 2006
Contact Information
3495 PIEDMONT ROAD NE
NINE PIEDMONT CENTER
ATLANTA, GA
ZIP 30305
Phone: (404) 364-3821
- Organization
- Internal Medicine
- Accepts Insurance
About THE SOUTHEAST PERMANENTE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for The Southeast Permanente Medical Group, an internist established in Atlanta, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1245266956 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The Southeast Permanente Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael Doherty (Associate Medical Director)
- NPI
- 1245266956
- Provider Name
- THE SOUTHEAST PERMANENTE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 3495 PIEDMONT ROAD NE NINE PIEDMONT CENTER ATLANTA, GA 30305
- Location Phone
- (404) 364-3821
- Mailing Address
- 3495 PIEDMONT RD NE NINE PIEDMONT CENTER ATLANTA, GA 30305
- Mailing Phone
- (404) 364-3821
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2006
- Last Update Date
- 07-18-2017
- Code Navigator
An internist like The Southeast Permanente Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 10 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 11 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 12 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 13 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP948 | MEDICARE ID-TYPE UNSPECIFIED (04) | GROUP MEDICARE NUMBER |
Reviews for THE SOUTHEAST PERMANENTE MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 6 | 6 | 9 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 6 | 12 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 6 + 1 + 2 + 9 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1245266956 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376638122 | CHARLES P ELLINGTON III MD Individual | Obstetrics & Gynecology | 3495 PIEDMONT ROAD NE DEPARTMENT OF OBSTETRICS & GYNECOLOGY ATLANTA, GA 30305 (404) 364-7000 |
| 1912069725 | SARA H MITCHELL CNP Individual | Pediatrics | 3495 PIEDMONT ROAD NE DEPARTMENT OF AFTER HOURS ATLANTA, GA 30305 (404) 364-7000 |
| 1861772204 | DR. DEBORAH L BAKER PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 3495 PIEDMONT ROAD NE ATLANTA, GA 30305 (404) 365-4629 |
| 1063793180 | CHRISTIANAH KOLAJO PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 3495 PIEDMONT ROAD NE PHARMACY ADMINISTRATION, BUILDING 10 ATLANTA, GA 30305 (404) 772-2166 |
| 1558476937 | CAROLE S GARDNER MD Individual | Family Medicine (Geriatric Medicine) | 3495 PIEDMONT ROAD NE MEDICAL OFFICES ADMINISTRATION ATLANTA, GA 30305 (404) 364-7000 |
| 1790876217 | RHODA K SHARP MD MBA Individual | Internal Medicine | 3495 PIEDMONT ROAD NE MEDICAL OFFICIES ADMINISTRATION ATLANTA, GA 30305 (404) 364-7000 |
| 1629846431 | MIGUEL ORTIZ Individual | Social Worker (Clinical) | 3495 PIEDMONT ROAD NE ATLANTA, GA 30305 (404) 364-7000 |
| 1548308372 | GAIL C RICHARDSON CNP Individual | Nurse Practitioner (Family) | 3495 PIEDMONT ROAD NE DEPARTMENT OF MEDICINE ATLANTA, GA 30305 (404) 364-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245266956, enumerated in the NPI registry as an "organization" on June 24, 2006
The provider is located at 3495 Piedmont Road Ne Nine Piedmont Center Atlanta, Ga 30305 and the phone number is (404) 364-3821
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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