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

Miss. Khemaporn Lertdetkajorn, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1871089367

Miss. Khemaporn Lertdetkajorn, MD is an Internal Medicine in Riverdale, Georgia. Qualified in 2015, 11 years ago. Practices with Southern Regional Physicians Management Group, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

33 Uppr Riverdale RD SW Ste 111
Riverdale, GA 30274-2642
Phone: (770) 909-2045
Fax: (770) 909-2056
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 100193 (GA)

Record details

NPI number1871089367
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 8, 2018
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern Regional Physicians Management Group, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount