Healthcare Provider Details

I. General information

NPI: 1487742680
Provider Name (Legal Business Name): NOVAMED SURGERY CENTER OF CLEVELAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 25TH ST NE
CLEVELAND TN
37311-3944
US

IV. Provider business mailing address

137 25TH STREET NE
CLEVELAND TN
37311-0001
US

V. Phone/Fax

Practice location:
  • Phone: 423-472-7874
  • Fax: 423-472-2881
Mailing address:
  • Phone: 423-472-7874
  • Fax: 423-472-2881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number0000000002
License Number StateTN

VIII. Authorized Official

Name: MARIETHA SILVERS, RN, BS, CASC
Title or Position: ADMINISTRATOR
Credential:
Phone: 423-472-7874