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Southeast Medical Group LLC

General Practice Physician in Birmingham, AL · enumerated 2019 · authorized official Doug Randall, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871059212

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Medical Group LLC
Practice address 1930 Edwards Lake Rd Ste 138b, Birmingham, AL, 35235
Fax (205) 278-6939
Enumeration date Feb 11, 2019
Last updated in NPPES Feb 11, 2019

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Doug Randall
Title Managing Member

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southeast Medical Group LLC located?
The practice location on file with NPPES is in Birmingham, AL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-11.