Riverside Surgery Center, LLC
NPI 1396713202 · Ambulatory Surgical Clinic/Center · Dyersburg, TN
Riverside Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Dyersburg, TN (NPI 1396713202).
Provider details
- NPI number
- 1396713202
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelley Warren, Billing Office(731) 285-2010
- License
- 0000000087 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2008-09-22
Frequently asked questions
- What is Riverside Surgery Center, LLC's NPI number?
- Riverside Surgery Center, LLC's National Provider Identifier (NPI) is 1396713202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Surgery Center, LLC?
- Riverside Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riverside Surgery Center, LLC located?
- Riverside Surgery Center, LLC's practice location on file with NPPES is 420 Wilkinson Dr, Dyersburg, TN 38024-2085.
- What is Riverside Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Riverside Surgery Center, LLC is (731) 285-2010.
- Who is the authorized official for Riverside Surgery Center, LLC?
- The authorized official listed on Riverside Surgery Center, LLC's NPPES record is Shelley Warren, Billing Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Surgery Center, LLC's NPI active?
- Yes — Riverside Surgery Center, LLC's NPI (1396713202) is active in the NPPES registry as of the last update on 2008-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.