Southeastern Surgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHEASTERN SURGICAL SPECIALISTS

Practice address

301 White Oak Rd Ste 100
Dayton, TN 37321-2530

Phone

(423) 775-5800

Fax

(423) 775-1981

NPI assigned

Mar 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig SwaffordNPI 1053490417

Title

Owner

Phone

(423) 775-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Steven Swafford, MD

  • Surgery Physician
  • Dayton, TN
  • NPI 1053490417
  Medicare reassignment NPD Authorized official
• Gabriel Daylen Rich, PA-C

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1932972064
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1285335232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT #888603",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WHITE OAK RD STE 100",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373212530",
            "telephone_number": "423-775-5800",
            "fax_number": "423-775-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982401",
            "country_code": "US",
            "telephone_number": "931-968-3966",
            "fax_number": "931-962-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEASTERN SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SWAFFORD",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-775-5800"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Christina Smith
• Larry M. Smith, DDS
• Katherine Sneed, LPN
• Julie Ann Sosebee, SLP
• Southeastern Dental Associates, PC
• Cara Sparks, PHARM.D.
• Specialty Medical Services, Inc
• Sport & Spine
• Stans Compounding Pharmacy
• Stans Pharmacy Inc

• Surgery Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.