Active NPI
Elijah Levi Atkinson, APRN
- Family Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 34069
- Practice address
- 2290 Ogletree Ave
Chattanooga, TN 37421-8816 - Phone
- (913) 704-9573
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 34069 | TN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5022877 | NC |
Addresses
Primary practice location
2290 Ogletree Ave
Chattanooga, TN 37421-8816
Mailing address
1015 Amelia CT
East Ridge, TN 37412-2477
Phone (913) 704-9574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5320 Bridgers Rd
Suite 4
Shallotte, NC 28470-4737
Phone (910) 754-4097
6035 Shallowford Rd
Suite 101
Chattanooga, TN 37421-1651
Phone (423) 499-0003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5022877 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Treatment Center, LLC | Current | Accepting new patients | |
| Chattanooga Family and Sports Medical Center, PLLC | Current | Accepting new patients | |
| Family Ties of Brunswick, LLC | Current | Accepting new patients | |
| Jeff Hall Inc | Past | Accepting new patients |
Locations
5320 Bridgers Rd
Ste 4
Shallotte, NC 28470
Phone (910) 754-4097
6035 Shallowford Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 499-0003
Organizations & group practices 4
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.
-
- Nutrition Chiropractor
- Chattanooga, TN
- NPI 1265687917
-
dba Family Ties Mental Health and Substance Abuse Counseling Services
- Professional Counselor
- Wilmington, NC
- NPI 1831682665
-
dba Wilmington Treatment Center
- Addiction Medicine (Internal Medicine) Physician
- Wilmington, NC
- NPI 1588151294
-
- Nutrition Chiropractor
- Cleveland, TN
- NPI 1861430753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1225712748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 AMELIA CT",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374122477",
"telephone_number": "913-704-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 OGLETREE AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374218816",
"telephone_number": "913-704-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "ELIJAH",
"middle_name": "LEVI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "34069",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5022877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Athena Esoterix, LLC.
- Jeffrey Michael Atherton Jr., M.D.
- Athletic Edge Physical Therapy
- Cole Thomas Atkins
- Kimberly Atkins, CRNA
- Joseph A Atkinson, MD
- Margaret Karen Atkinson, RNC
- Atlas Literacy & Language, PLLC
- Atrium Surgery Center, LTD., a Tennessee Limited Partnership (Atrium Memorial Surgery Center)
- Barrett O. Attarha, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.