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

Southeast Medical Group LLC

Organization General Practice Physician · NPI 1871059212

Southeast Medical Group LLC provides General Practice Physician services in Birmingham, Alabama. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1930 Edwards Lake Rd Ste 138B
Birmingham, AL 35235-3720
Phone: (205) 308-3183
Fax: (205) 278-6939
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1871059212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doug Randall — Managing Member · (205) 308-3183
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 11, 2019
Mailing address1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720

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