Individual provider Active NPI

Cheryl Renee Eldridge, NP-C

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1235620071
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP276769 Issued in GA
Practice address
1107 Memorial Dr Ste G2
Dalton, GA 30720-8662
Phone
(706) 529-3072
Fax
(706) 272-6077
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP276769 GA Primary

Addresses

Primary practice location

1107 Memorial Dr Ste G2
Dalton, GA 30720-8662

Mailing address

1107 Memorial Dr Ste G2
Dalton, GA 30720-8662
Phone (706) 529-3072

Other identifiers 1

IdentifierTypeStateIssuer
RN276769OtherGALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180816002221 GA Practitioner - Nurse Practitioner 1254680770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

3957 Cleveland Hwy
Suite B
Dalton, GA 30721-2052
Phone (706) 852-2374

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP276769GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Jul 1, 2018 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

1012 Burleyson Rd
Dalton, GA 30720
Phone (706) 226-2848

3957 Cleveland Hwy
#B
Dalton, GA 30721
Phone (706) 694-4600

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1107 Memorial Dr
Ste G2
Dalton, GA 30720
Phone (706) 529-3245

Interoperability endpoints

  • Direct secure messaging: celdridge18923@hhcs.direct-ci.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.

Hospital & facility affiliations 3

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1235620071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE G2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-529-3072",
            "fax_number": "706-272-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE G2",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208662",
            "telephone_number": "706-529-3072",
            "fax_number": "706-272-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP276769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN276769",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.