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Southeast Medical Group LLC

NPI 1871059212ActiveOrganization· General Practice· Birmingham, AL

General Practice in Birmingham, Alabama, registered in NPPES in February 2019. The authorized official on file is Doug Randall, Managing Member.

Overview

NPI1871059212
StatusActive
Entity typeOrganization
NPI issuedFeb 11, 2019
Last updated in NPPESFeb 11, 2019

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Birmingham

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