Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Emergency Services P C

Organization Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI 1669414264

Southeastern Emergency Services P C is a Pediatric Emergency Medicine (Emergency Medicine) Physician in Athens, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
6

Practice location Address checks out

1114 W Madison Ave
Athens, TN 37371
Phone: (423) 745-1411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X (TN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X (TN)

Record details

NPI number1669414264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randal Dabbs — President · (865) 693-1000
NPI enumeratedJune 11, 2006
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing addressP O Box 634760, Cincinnati, OH 45263-4760