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RIVERSIDE SURGERY CENTER, LLC
NPI 1396713202
Clinic/Center - Ambulatory Surgical in Dyersburg, TN

Active since March 08, 2006
420 WILKINSON DR, DYERSBURG, TN 38024(731) 285-2010(731) 285-5600 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Surgery Center, Llc NPPES

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

RIVERSIDE SURGERY CENTER, LLC (NPI 1396713202) is a healthcare organization registered as an ambulatory surgical in Dyersburg, Tennessee and active in the NPI registry since March 2006. The organization lists Shelley Warren, Billing Office, as its authorized official.

NPPES Registry Identity

NPI1396713202
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERSIDE SURGERY CENTER, LLC
Location Address420 WILKINSON DRDyersburg, TN 38024-2085
Mailing Address420 Wilkinson DrDyersburg, TN 38024-2085 · (731) 285-2010 · Fax (731) 285-5600
Phone(731) 285-2010
Fax(731) 285-5600
Organization SubpartNo
Authorized OfficialShelley WarrenBilling Office · (731) 285-2010
Enumeration DateMarch 8, 2006
Last NPPES UpdateSeptember 22, 2008
✔ NPI 1396713202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TN · 0000000087
420 WILKINSON DR, Dyersburg, TN 38024
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Other Identifiers 2

Medicaid3287901TN
Medicare ID-Type Unspecified3287901TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORENTINA V WHITFORD NP-C
Nurse Practitioner
420 WILKINSON DR
DYERSBURG, TN 38024
Dyer County (731) 285-5133
COURTNEY B CAMPBELL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
420 WILKINSON DR
DYERSBURG, TN 38024
Dyer County (731) 288-3636
ANESTHESIA PARTNERS PLLC
Nurse Anesthetist, Certified Registered
420 WILKINSON DR
DYERSBURG, TN 38024
Dyer County (731) 285-2010
KYLE PENDLETON ROSE NP
Nurse Practitioner
420 WILKINSON DR
DYERSBURG, TN 38024
Dyer County (224) 406-4918
ANGELA QUICK FNP
Nurse Practitioner (Family)
420 WILKINSON DR
DYERSBURG, TN 38024
Dyer County (731) 285-5133

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 Riverside Surgery Center, LLC's NPI number?

The NPI number for Riverside Surgery Center, LLC is 1396713202. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Riverside Surgery Center, LLC located?

Riverside Surgery Center, LLC is located at 420 Wilkinson Dr, Dyersburg, TN 38024. The listed phone number is (731) 285-2010.

What is Riverside Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Riverside Surgery Center, LLC was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.