SOUTHEASTERN EMERGENCY SERVICES P C
NPI 1669414264
Nurse Practitioner in Athens, TN

Q: What is Southeastern Emergency Services P C's NPI number?

The NPI number for Southeastern Emergency Services P C is 1669414264. It was assigned to this organization in the NPPES registry on June 11, 2006.

Q: What is Southeastern Emergency Services P C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 11, 2006

1114 W MADISON AVE, ATHENS, TN 37371(423) 745-1411 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2020, Dec 14, 2015 (2 updates tracked since 2015).

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About Southeastern Emergency Services P C NPPES

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

SOUTHEASTERN EMERGENCY SERVICES P C (NPI 1669414264) is a healthcare organization registered as a nurse practitioner in Athens, Tennessee and active in the NPI registry since June 2006. The organization lists Randal L Dabbs, President, as its authorized official.

NPPES Registry Identity

NPI1669414264

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSOUTHEASTERN EMERGENCY SERVICES P C

Location Address1114 W MADISON AVEAthens, TN 37371

Mailing AddressP O Box 634760Cincinnati, OH 45263-4760

Phone(423) 745-1411

Organization SubpartNo

Authorized OfficialRandal L DabbsPresident · (865) 693-1000

Enumeration DateJune 11, 2006

Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1669414264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

1114 W MADISON AVE, Athens, TN 37371

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Other Identifiers 9

Medicaid06310389MS

Medicaid2348298NC

Medicaid529929400AL

MedicaidGP4818SC

Medicaid507432003MO

Medicaid7100010470KY

Medicaid78903671KY

Medicaid02121280MS

Medicaid05515899MS

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 P C's NPI number?

The NPI number for Southeastern Emergency Services P C is 1669414264. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Southeastern Emergency Services P C located?

Southeastern Emergency Services P C is located at 1114 W Madison Ave, Athens, TN 37371. The listed phone number is (423) 745-1411.

What is Southeastern Emergency Services P C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Southeastern Emergency Services P C accept?

Health plans from Molina Healthcare list Southeastern Emergency Services 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 P C was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.