Southeastern Surgical, LLC
A Medicare group practice based in Chattanooga, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911393509), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7911393509
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220520002345 | TN | Part B Supplier - Clinic/Group Practice | 1326796426 |
| O20220407001257 | TN | Part B Supplier - Ambulatory Surgical Center | 1831766955 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southeastern Surgical, LLC
dba Riverfront Surgery Center
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1326796426
-
Southeastern Surgical, LLC
dba Riverfront Surgery Center
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1831766955
Practice locations
- Chattanooga, TN2
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (9).
-
Jennifer Lee Allen, CRNA
- Certified Registered Nurse Anesthetist
- Dalton, GA
- NPI 1174248447
-
Renee Book, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1790132363
-
Jason Fortuna, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1215340732
-
Alyse Holmes, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1134760630
-
Tinh Hue Lam, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1750546552
-
Brittney L McClannahan, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1255765368
-
Alison Mims, RN
- Certified Registered Nurse Anesthetist
- Rock Spring, GA
- NPI 1972909810
-
Rachel Parsons Nall, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1700359528
-
Russell Edward Proffitt, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1124440128
-
Cody Reade Sims
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1245066059
-
Evan Jeffrey Taylor, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1053075226
-
Laura A. Tyndall, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1659499952
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.