Southeastern Spine, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHEASTERN SPINE, PLLC

Practice address

281 North Lyerly Street
Suite 300
Chattanooga, TN 37404-2728

Phone

(423) 693-2175

Fax

(888) 959-1015

NPI assigned

Aug 28, 2012

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Buffy Belcher

Title

Coo

Phone

(423) 693-2175

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Jean Payne, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1508092818
  Medicare reassignment Care Compare group NPD
• Jessica Leighanne Scott, PA-C

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1508171943
  Medicare reassignment Care Compare group NPD
• James E. Jolley II, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Chattanooga, TN
  • NPI 1457392433
  Medicare reassignment Care Compare group
• Matthew Stephen Bernard, MD

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
  • NPI 1164632626
  Medicare reassignment NPD

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1518215219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 NORTH LYERLY STREET",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-693-2175",
            "fax_number": "888-959-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 NORTH LYERLY STREET",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-693-2175",
            "fax_number": "888-959-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "BUFFY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-693-2175"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q068733",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tanya Southerland
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• Orthopaedic Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.