Individual provider Active NPI

Erin Hartsfield Neely, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1134513484
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-05658 Issued in NC
Practice address
1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174
Phone
(423) 265-2233
Fax
(423) 756-8265
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-05658 NC Primary

Addresses

Primary practice location

1010 E 3Rd St Ste 202
Chattanooga, TN 37403-2174

Mailing address

919 Geswein CT
Chattanooga, TN 37412-1755
Phone (334) 797-1685

Other practice location 1

1000 Blythe Blvd
CMC Annex 1st Floor
Charlotte, NC 28203-5812
Phone (704) 355-0720

Other identifiers 2

IdentifierTypeStateIssuer
2159PAMedicaidSC
1134513484MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200320001561 TN Practitioner - Physician Assistant 6406168871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434

975 E 3Rd St
Chattanooga, TN 37403-2147

979 E 3Rd St
Chattanooga, TN 37403-2136

979 E 3Rd St G
Chattanooga, TN 37403-2136
Phone (423) 778-7485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008228GAMDPhysical Therapist
0010-05658NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Mar 23, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Mar 23, 2020 Accepting new patients
Erlanger Health CurrentSince Dec 17, 2023 Accepting new patients
Erlanger Health CurrentSince Dec 17, 2023 Accepting new patients
Erlanger Health Past Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1010 E 3rd St
Ste 202
Chattanooga, TN 37403
Phone (423) 265-2233

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1134513484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 GESWEIN CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121755",
            "telephone_number": "334-797-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E 3RD ST STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032174",
            "telephone_number": "423-265-2233",
            "fax_number": "423-756-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_2": "CMC Annex 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-0720",
            "fax_number": "704-355-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "ERIN",
        "middle_name": "HARTSFIELD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134513484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.