Southeastern Emergency Services P C
Southeastern Emergency Services P C is a healthcare organization registered as Nurse Practitioner in Athens, TN, holding Type 2 (organization) NPI 1669414264 since 2006. The authorized official on file is Randal Dabbs, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669414264 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Emergency Services P C |
| Practice address | 1114 W MADISON AVE, Athens, TN, 37371 |
| Phone | 4237451411 |
| Enumeration date | 2006-06-11 |
| Last updated in NPPES | 2020-09-14 |
Authorized official
| Name | Randal Dabbs |
|---|---|
| Title | President |
| Phone | 8656931000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | TN |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363AM0700X | Medical Physician Assistant | Secondary | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | Secondary | — | TN |
| 363L00000X | Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2348298 | Medicaid | NC | — |
| 05515899 | Medicaid | MS | — |
| 507432003 | Medicaid | MO | — |
| GP4818 | Medicaid | SC | — |
| 02121280 | Medicaid | MS | — |
| 529929400 | Medicaid | AL | — |
| 78903671 | Medicaid | KY | — |
| 06310389 | Medicaid | MS | — |
| 7100010470 | Medicaid | KY | — |
Copy-ready billing details
Provider: Southeastern Emergency Services P C NPI: 1669414264 Taxonomy: 363L00000X (Nurse Practitioner) Address: 1114 W MADISON AVE, Athens, TN, 37371
Verify this record
Cross-check NPI 1669414264 against the authoritative CMS record: view Southeastern Emergency Services P C on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Southeastern Emergency Services P C?
Who is the authorized official for Southeastern Emergency Services P C?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-14.