Active NPI
Novamed Surgery Center of Cleveland LLC
- Ambulatory Surgical Clinic/Center
- Cleveland, TN
National Provider Identifier
1487742680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000002
- Legal business name
- NOVAMED SURGERY CENTER OF CLEVELAND LLC
- Practice address
- 137 25TH St NE
Cleveland, TN 37311-3944 - Phone
- (423) 472-7874
- Fax
- (423) 472-2881
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marietha Silvers, RN, BS, Casc
- Title
- Administrator
- Phone
- (423) 472-7874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000002 | TN | Primary |
Addresses
Primary practice location
137 25TH St NE
Cleveland, TN 37311-3944
Mailing address
137 25TH Street NE
Cleveland, TN 37311-0001
Phone (423) 472-7874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00391224 | Other | RR MEDICARE | |
| 3739862 | Medicaid | TN |
Other names 1
- The Surgery Center of Cleveland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070210000133 | TN | Part B Supplier - Ambulatory Surgical Center | 2860494432 | Practice locations: Cleveland, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Novamed Surgery Center of Cleveland LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1814 Reliable Pkwy
Chicago, IL 60686
861814 Reliable Pkwy
Chicago, IL 60686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- River Forest, IL
- NPI 1235158098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1487742680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 25TH STREET NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373110001",
"telephone_number": "423-472-7874",
"fax_number": "423-472-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 25TH ST NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113944",
"telephone_number": "423-472-7874",
"fax_number": "423-472-2881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAMED SURGERY CENTER OF CLEVELAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "SILVERS, RN, BS, CASC",
"authorized_official_first_name": "MARIETHA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "423-472-7874"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00391224",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3739862",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Surgery Center of Cleveland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Surgery Center of Cleveland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.