Elizabeth Ann Deleonardis, PHYSICIAN ASSISTANT
Individual provider Active NPI Medical Physician Assistant · Spring City, TN
NPI 1326379751 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1326379751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 22024 Rhea County Hwy
Spring City, TN 37381-5243 - Phone
- (423) 299-1390
- Fax
- (423) 219-0012
- NPI assigned
- Jan 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhea Medical Center
Practice addresses (Care Compare)
22024 Rhea County Hwy
Spring City, TN 37381-5243
Phone (423) 299-1390
Hospital & facility affiliations
- Amedisys Home Health Chattanooga
- Rhea Medical Center
- Memorial Healthcare System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151026001194 | TN | Practitioner - Physician Assistant | 3678882024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current |
Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current |
Accepting new patients | |
| Rhea Medical Center | Past | Accepting new patients | |
| Madisonville Primary Care Group PLLC | Medical | Past | Accepting new patients |
Locations
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
225 Clinton Ave
Spring City, TN 37381
Phone (423) 365-2171
Interoperability endpoints
- elizabethdeleonardis@tnmhpf.allscriptsdirect.net
- elizabeth.deleonardis@rmcpg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TN | ||
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
22024 Rhea County Hwy
Spring City, TN 37381-5243
Mailing address
22024 Rhea County Hwy
Spring City, TN 37381-5243
Phone (423) 299-1390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516780 | Medicaid | TN | |
| 1091133 | Other | NCCPA |
Other names
- Elizabeth Ann Smith
NPI Registry JSON
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1326379751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22024 RHEA COUNTY HWY",
"city": "SPRING CITY",
"state": "TN",
"postal_code": "373815243",
"telephone_number": "423-299-1390",
"fax_number": "423-219-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22024 RHEA COUNTY HWY",
"city": "SPRING CITY",
"state": "TN",
"postal_code": "373815243",
"telephone_number": "423-299-1390",
"fax_number": "423-219-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEONARDIS",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-25",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1516780",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1091133",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SMITH",
"middle_name": "ANN",
"credential": "PHYSICIAN ASSISTANT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spring City, TN
- Apex ABA LLC
- Benchmark Healthcare Services LLC
- Phillip Blevins
- Howard Robert Brock
- Beth Ann Casady
- James Alan Downs Sr.
- Christopher Derik Elmore
- Amy Elizabeth Fox
- Garnet Virginia Community Care
- Sarah Talbott Green
All providers in Spring City, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.