SOUTHEASTERN SWALLOWING DIAGNOSTICS
NPI 1205377348
Clinic/Center - Health Service in Ooltewah, TN
About Southeastern Swallowing Diagnostics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN SWALLOWING DIAGNOSTICS (NPI 1205377348) is a healthcare organization registered as a health service in Ooltewah, Tennessee and active in the NPI registry since March 2017. The organization lists Kayla Stout, Co-owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Swallowing Diagnostics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Southeastern Swallowing Diagnostics, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 48Source: 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 Swallowing Diagnostics's NPI number?
The NPI number for Southeastern Swallowing Diagnostics is 1205377348. It was assigned to this organization in the NPPES registry on March 8, 2017.
Where is Southeastern Swallowing Diagnostics located?
Southeastern Swallowing Diagnostics is located at 8459 Lexie Ln, Ooltewah, TN 37363. The listed phone number is (301) 275-4057.
What is Southeastern Swallowing Diagnostics's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Southeastern Swallowing Diagnostics enrolled in Medicare?
Yes. Southeastern Swallowing Diagnostics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Swallowing Diagnostics?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeastern Swallowing Diagnostics. 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 Physical Therapist in Private Practice (26), Occupational Therapist in Private Practice (21) and Qualified Speech Language Pathologist (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeastern Swallowing Diagnostics was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Southeastern Swallowing Diagnostics · NPI 1205377348
Health Service organization in Ooltewah, Tennessee. Organization record, active in the CMS NPPES registry since March 8, 2017.
## Identity
- **NPI:** 1205377348 (Entity type: Organization)
- **Enumerated:** March 8, 2017
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Kayla Stout, CO-OWNER/THERAPIST
## Practice location
- **Address:** 8459 LEXIE LN, Ooltewah, TN 37363-5796
- **Phone:** (301) 275-4057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (26), Occupational Therapist in Private Practice (21), Qualified Speech Language Pathologist (1); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1205377348/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205377348) · Data from the CMS NPPES public registry.