SouthEastern Spine – Orthopaedic Surgery of the Spine Physician, NPI 1861377970

SouthEastern Spine is a healthcare provider. based in Tuscaloosa, Alabama. specializing in Orthopaedic Surgery of the Spine Physician. The NPI Number for SouthEastern Spine is 1861377970

Main info

Organization
Name
SouthEastern Spine
NPI
1861377970
Phone
Not provided
Address
1781 COMMONS NORTH LOOP
Authorized Official
DANIEL CLAY CONVILLE VICE PRESIDENT, PHYSICIAN SERVICES
Enumeration Date
7 August 2025
Last Update Date
2 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for SouthEastern Spine

  • 1781 COMMONS NORTH LOOP

    TUSCALOOSA, AL 354063577

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080918000595OClinic/Group PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35406)

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Reviews

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Frequently asked questions

Does SouthEastern Spine share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SouthEastern Spine uses 1861377970.
Is SouthEastern Spine listed as active for patients and plans?
The listing shows SouthEastern Spine as active in the NPI system.
What is SouthEastern Spine's specialty?
The listing groups SouthEastern Spine with Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Does SouthEastern Spine list a practice location?
Patients near Tuscaloosa, Alabama may find SouthEastern Spine in results; validate coverage separately.
Is the information about SouthEastern Spine up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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