Active NPI
Jennifer Ann Eaton, DO
- Neurology Physician
- Gastonia, NC
National Provider Identifier
1356081269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2026-00870
- Practice address
- 815 Cox Rd
Gastonia, NC 28054-3453 - Phone
- (704) 865-1700
- Fax
- (704) 865-7948
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2026-00870 | NC | Primary |
| Neurology Physician | 2084N0400X | 87610 | SC |
Addresses
Primary practice location
815 Cox Rd
Gastonia, NC 28054-3453
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other practice location 1
1200 Village Harbor Dr
Lake Wylie, SC 29710-9092
Phone (704) 865-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220726000787 | SC | Order and Referring Only - Neurology | 3072994847 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026-00870 | NC | MD | Neurology Physician |
| 87610 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1356081269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543453",
"telephone_number": "704-865-1700",
"fax_number": "704-865-7948"
}
],
"practiceLocations": [
{
"address_1": "1200 Village Harbor Dr",
"address_purpose": "LOCATION",
"city": "Lake Wylie",
"state": "SC",
"postal_code": "297109092",
"country_code": "US",
"telephone_number": "704-865-1700",
"fax_number": "704-865-7944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2026-00870",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "87610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Easter Seals Ucp North Carolina & Virginia
- Samantha Lynn Easters, LCSW-A
- Eastridge Family Medicine (Atrium Health Primary Care Eastridge Family Medicine)
- Anna Pearl Eaton, MED, NCC, LCMHCA
- Derek J Eaton, D.D.S.
- Hannah Ashlin Eccles, LCSW
- Hugo Echeverry, RN
- Eckerd Corporation (Rite Aid Pharmacy 11445)
- Eckerd Corporation (Rite Aid Pharmacy 11441)
- Eckerd Corporation (Rite Aid Pharmacy 11444)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.