Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Southeast Permanente Medical Group

Organization Dermatology Physician · NPI 1245266956

The Southeast Permanente Medical Group is a Dermatology Physician in Atlanta, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15

Practice location Address checks out

3495 Piedmont Road NE Nine Piedmont Ctr
Atlanta, GA 30305-1773
Phone: (404) 364-3821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Hospitalist Physician Taxonomy 208M00000X
Podiatrist Taxonomy 213E00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1245266956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Doherty — Associate Medical Director · (404) 364-2245
NPI enumeratedJune 24, 2006
Last updated in NPPESJuly 18, 2017
Mailing address3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1773

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