Individual provider Active NPI

Elijah Levi Atkinson, APRN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1225712748
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34069 Issued in TN
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

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241031002986 TN Practitioner - Nurse Practitioner 9032642806 Reassigns benefits to 1 organization
I20260227002326 NC Practitioner - Nurse Practitioner 9032642806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Family Ties of Brunswick, LLCGroup PAC ID 7911309430, 8 clinicians
Chattanooga Family and Sports Medical Center, PLLCGroup PAC ID 7214094564, 6 clinicians

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

LicenseStateTypeSpecialty
5022877NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Treatment Center, LLC CurrentSince Dec 22, 2025 Accepting new patients
Chattanooga Family and Sports Medical Center, PLLC CurrentSince Aug 5, 2024 Accepting new patients
Family Ties of Brunswick, LLC CurrentSince Apr 20, 2026 Accepting new patients
Jeff Hall Inc PastSince Aug 5, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.