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Southeastern Surgical, LLC

NPI 1326796426ActiveOrganization· Nurse Anesthetist, Certified Registered· Chattanooga, TN

Nurse Anesthetist, Certified Registered in Chattanooga, Tennessee, registered in NPPES in March 2022, part of Southeastern Surgical, LLC. The authorized official on file is James E. Jolley, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1326796426
StatusActive
Entity typeOrganization (subpart)
Parent organizationSoutheastern Surgical, LLC
NPI issuedMar 17, 2022
Last updated in NPPESAug 24, 2026
Certified by providerAug 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

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