Organization Active NPI

Novamed Surgery Center of Cleveland LLC

  • Ambulatory Surgical Clinic/Center
  • Cleveland, TN
National Provider Identifier
1487742680
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000002 Issued in TN
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

Updated by the provider on Jan 26, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00391224OtherRR MEDICARE
3739862MedicaidTN

Other names 1

  • The Surgery Center of Cleveland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 44C0001048
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.