SOUTHEASTERN EMERGENCY SERVICES P C
NPI 1669414264
Nurse Practitioner in Athens, TN
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
Specialties & Licenses 5
Other Identifiers 9
Group Practice 1
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 P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
105Medicare enrollment records show 105 clinicians reassign Medicare billing to Southeastern Emergency Services P C, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 105Source: 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 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.
Is Southeastern Emergency Services P C enrolled in Medicare?
Yes. Southeastern Emergency Services P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Emergency Services P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 105 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeastern Emergency Services 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 (103) and Physician Assistant (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Southeastern Emergency Services P C · NPI 1669414264
Nurse Practitioner organization in Athens, Tennessee. Organization record, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1669414264 (Entity type: Organization)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Randal Dabbs, PRESIDENT
## Practice location
- **Address:** 1114 W MADISON AVE, Athens, TN 37371
- **Phone:** (423) 745-1411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 105 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (103), Physician Assistant (2); [full list](https://npiprofile.com/npi/1669414264/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2020
- **Other identifiers:** Medicaid 06310389 (MS); Medicaid 2348298 (NC); Medicaid 529929400 (AL); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669414264) · Data from the CMS NPPES public registry.