Southeastern Intensivist Services PC
Southeastern Intensivist Services PC is a healthcare organization registered as Hospitalist Physician in West Memphis, AR, holding Type 2 (organization) NPI 1912942665 since 2006. The authorized official on file is Randal Dabbs, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912942665 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Intensivist Services PC |
| Practice address | 2100 N 7TH ST, West Memphis, AR, 72301 |
| Phone | 8707333020 |
| Enumeration date | 2006-06-17 |
| Last updated in NPPES | 2018-11-28 |
Authorized official
| Name | Randal Dabbs |
|---|---|
| Title | President |
| Phone | 8656931000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 208M00000X | Hospitalist Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3733831 | Medicaid | TN | — |
Copy-ready billing details
Provider: Southeastern Intensivist Services PC NPI: 1912942665 Taxonomy: 208M00000X (Hospitalist Physician) Address: 2100 N 7TH ST, West Memphis, AR, 72301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508308131 | Paulette Johnson | Individual | Family Nurse Practitioner | West Memphis, AR |
| 1063907244 | Lifelinc Anesthesia V, P.A. | Organization | Anesthesiology Physician | West Memphis, AR |
| 1437634524 | Baptist Memorial Hospital - Crittenden Inc | Organization | General Acute Care Hospital | West Memphis, AR |
| 1275095457 | Ryan Shibata | Individual | Family Medicine Physician | West Memphis, AR |
| 1821785593 | Krishna Patel | Individual | Physician Assistant | West Memphis, AR |
Verify this record
Cross-check NPI 1912942665 against the authoritative CMS record: view Southeastern Intensivist Services PC 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
How current is this record?
Where is Southeastern Intensivist Services PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-28.