SOUTHEASTERN EMERGENCY SERVICES OF MEMPHIS, P.C.
NPI 1164454450
Emergency Medicine in Chattanooga, TN

Active since July 07, 2006
910 BLACKFORD ST, CHATTANOOGA, TN 37403(865) 693-1000 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2020, Sep 29, 2020, Dec 15, 2015 (3 updates tracked since 2015).

About Southeastern Emergency Services Of Memphis, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN EMERGENCY SERVICES OF MEMPHIS, P.C. (NPI 1164454450) is a healthcare organization registered as an emergency medicine in Chattanooga, Tennessee and active in the NPI registry since July 2006. The organization lists Randal L Dabbs, President, as its authorized official.

NPPES Registry Identity

NPI1164454450
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSOUTHEASTERN EMERGENCY SERVICES OF MEMPHIS, P.C.
Location Address910 BLACKFORD STChattanooga, TN 37403-1405
Mailing AddressP O Box 634811Cincinnati, OH 45263-4811
Organization SubpartNo
Authorized OfficialRandal L DabbsPresident · (865) 693-1000
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 14, 20203 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1164454450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
910 BLACKFORD ST, Chattanooga, TN 37403

Other Identifiers 6

Medicaid200542050AKS
Medicaid3724132TN
Medicaid529929220AL
Medicaid504604307MO
Medicaid625568152AGA
Medicaid78904216KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Emergency Services Of Memphis, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

119

Medicare enrollment records show 119 clinicians reassign Medicare billing to Southeastern Emergency Services Of Memphis, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner113
Emergency Medicine6

Nearest to this location (20)

See all 119
Nurse Practitioner
NPI 1316970494
910 BLACKFORD ST
Chattanooga, TN 37403
(423) 778-6011
✔ PECOSSame address
Nurse Practitioner
NPI 1760897854
975 EAST THIRD STREET
Chattanooga, TN 37403
(423) 778-7592
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1235529256
979 E 3RD ST SUITE C-925
Chattanooga, TN 37403
(423) 778-5910
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1740839315
1703 W 54TH ST
Chattanooga, TN 37409
(307) 371-5520
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1922523703
1039 EXECUTIVE DR STE 101
Hixson, TN 37343
(423) 874-0125
✔ PECOS6.5 mi
Nurse Practitioner
NPI 1093952475
7320 SHALLOWFORD RD SUITE B
Chattanooga, TN 37421
(423) 648-6483
✔ PECOS7.8 mi
Nurse Practitioner
NPI 1902238769
7566 NASHVILLE ST
Ringgold, GA 30736
(706) 935-3600
✔ PECOS14 mi
Nurse Practitioner
NPI 1366077562
245 GOVERNORS DR SE
Huntsville, AL 35801
(256) 265-7061
✔ PECOS76 mi
Nurse Practitioner
NPI 1801318035
108 PROMINENCE CT STE 210
Dawsonville, GA 30534
(770) 886-5184
✔ PECOS✔ Accepts Medicare86 mi
Nurse Practitioner
NPI 1952556540
7003 CHADWICK DR STE 350
Brentwood, TN 37027
(615) 866-9623
✔ PECOS108 mi
Emergency Medicine
NPI 1467013045
701 GROVE RD FL 1
Greenville, SC 29605
(864) 455-7899
✔ PECOS✔ Accepts Medicare164 mi
Emergency Medicine
NPI 1093898702
504 OLD JONESBORO ROAD
Bristol, TN 37620
(423) 844-1000
✔ PECOS204 mi
Nurse Practitioner
NPI 1437680907
1530 LONE OAK RD
Paducah, KY 42003
(270) 444-2444
✔ PECOS✔ Accepts Medicare233 mi
Nurse Practitioner
NPI 1891799730
1461 N GARDNER ST
Scottsburg, IN 47170
(502) 446-5555
✔ PECOS✔ Accepts Medicare254 mi
Nurse Practitioner
NPI 1427503259
630 NORTH BROADWAY STREET, LEVEL 2
Madison, IN 47250
(812) 801-0995
✔ PECOS✔ Accepts Medicare255 mi
Nurse Practitioner
NPI 1568458610
6711 E MOUNT EDEN RD
Scottsburg, IN 47170
(812) 896-7301
✔ PECOS✔ Accepts Medicare257 mi
Nurse Practitioner
NPI 1306801642
25 W 1ST ST
Campbellsburg, IN 47108
(812) 755-4443
✔ PECOS✔ Accepts Medicare265 mi
Emergency Medicine
NPI 1881905917
3635 VISTA AVE ST LOUIS UNIVERSITY HOSPITAL, WEST PAVILLION, RM 320
Saint Louis, MO 63110
(314) 577-8780
✔ PECOS✔ Accepts Medicare369 mi
Emergency Medicine
NPI 1902391865
1 BARNES JEWISH HOSPITAL PLZ
Saint Louis, MO 63110
(314) 362-5000
✔ PECOS✔ Accepts Medicare370 mi
Emergency Medicine
NPI 1134167091
525 COUCH AVE
Kirkwood, MO 63122
(314) 966-1500
✔ PECOS✔ Accepts Medicare374 mi
See all 119 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Emergency Services Of Memphis, P.C.'s NPI number?

The NPI number for Southeastern Emergency Services Of Memphis, P.C. is 1164454450. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Southeastern Emergency Services Of Memphis, P.C. located?

Southeastern Emergency Services Of Memphis, P.C. is located at 910 Blackford St, Chattanooga, TN 37403. The listed phone number is (865) 693-1000.

What is Southeastern Emergency Services Of Memphis, P.C.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Southeastern Emergency Services Of Memphis, P.C. enrolled in Medicare?

Yes. Southeastern Emergency Services Of Memphis, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Emergency Services Of Memphis, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 119 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeastern Emergency Services Of Memphis, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (113) and Emergency Medicine (6). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Emergency Services Of Memphis, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Southeastern Emergency Services Of Memphis, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Emergency Services Of Memphis, P.C. was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.