SOUTHEASTERN SURGICAL, LLC
NPI 1326796426
Nurse Anesthetist, Certified Registered in Chattanooga, TN

Q: What is Southeastern Surgical, LLC's NPI number?

The NPI number for Southeastern Surgical, LLC is 1326796426. It was assigned to this organization in the NPPES registry on March 17, 2022. The provider is doing business as Riverfront Surgery Center.

Q: What is Southeastern Surgical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since March 17, 2022CLIA 44D2229076 · Waiver

1247 RIVERFRONT PKWY STE 100, CHATTANOOGA, TN 37402(423) 206-9000 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Apr 7, 2023 (2 updates tracked since 2023).

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About Southeastern Surgical, Llc NPPES

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

SOUTHEASTERN SURGICAL, LLC (NPI 1326796426), doing business as Riverfront Surgery Center, is a healthcare organization registered as a nurse anesthetist, certified registered in Chattanooga, Tennessee and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists James E. Jolley, President, as its authorized official.

NPPES Registry Identity

NPI1326796426

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSOUTHEASTERN SURGICAL, LLC

Location Address1247 RIVERFRONT PKWY STE 100Chattanooga, TN 37402-2108

Mailing Address1247 Riverfront Pkwy Ste 100Chattanooga, TN 37402-2108 · (423) 206-9000

Phone(423) 206-9000

Organization SubpartYes

Authorized OfficialJames E. JolleyPresident · (423) 693-2175

Enumeration DateMarch 17, 2022

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1326796426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1247 RIVERFRONT PKWY STE 100, Chattanooga, TN 37402

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Other Names 1

Doing Business AsRiverfront Surgery Center

Other Identifiers 2

MedicaidQ072955TN

Medicaid003341579AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Surgical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southeastern Surgical, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.