Individual provider Active NPI

Eden Buchanan, CNMT

  • Medical Physician Assistant
  • Dickson, TN
National Provider Identifier
1164091146
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5177 Issued in TN
Practice address
143 Henslee Dr
Dickson, TN 37055-2092
Phone
(615) 441-5580
Fax
(615) 441-5581
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5177 TN Primary
Physician Assistant 363A00000X 5177 TN

Addresses

Primary practice location

143 Henslee Dr
Dickson, TN 37055-2092

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

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
I20221208002113 TN Practitioner - Physician Assistant 1052780376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

1418 W Main St
Lebanon, TN 37087-3380
Phone (615) 453-7720

143 Henslee Dr
Dickson, TN 37055-2092
Phone (615) 441-5580

2011 Nashville Pike
Gallatin, TN 37066-3162
Phone (615) 575-1130

237 E Main St
Hendersonville, TN 37075-2549
Phone (615) 431-3640

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

6690 Nolensville Rd
Brentwood, TN 37027-8803
Phone (615) 941-7670

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5177TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trevecca Nazarene University PastSince Jun 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eden.buchanan@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1164091146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "fax_number": "615-590-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552092",
            "telephone_number": "615-441-5580",
            "fax_number": "615-441-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "EDEN",
        "credential": "CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5177",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.