Active NPI
Ashley Shay Eaton
- Nurse Practitioner
- Dunlap, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 27348
- Practice address
- 360 Dell TRL
Dunlap, TN 37327-5511 - Phone
- (423) 949-4651
- Fax
- (423) 949-5652
- NPI assigned
- May 1, 2020
- Last updated
- Jul 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 27348 | TN | Primary |
Addresses
Primary practice location
360 Dell TRL
Dunlap, TN 37327-5511
Mailing address
1635 Gunbarrel Rd Ste 110
Chattanooga, TN 37421-3126
Phone (423) 541-5102
Other practice location 1
1425 McFarland Ave
Rossville, GA 30741-2215
Phone (706) 861-0863
Other practice location 2
1940 Westland Dr SW
Cleveland, TN 37311-8102
Phone (423) 813-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2403 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4033
Phone (706) 866-7700
360 Dell TRL
Dunlap, TN 37327-5511
Phone (423) 949-4651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiatry Consultants of Ga LLC | Current | Accepting new patients | |
| NP Health of TN PLLC | Current | Accepting new patients |
Locations
2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805
3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199
1425 McFarland Ave
Rossville, GA 30741
Phone (423) 987-3702
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
360 Dell Trl
Dunlap, TN 37327
Phone (423) 919-4651
6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1841888591
TN
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1609468248
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1386265361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 GUNBARREL RD STE 110",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213126",
"telephone_number": "423-541-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 DELL TRL",
"city": "DUNLAP",
"state": "TN",
"postal_code": "373275511",
"telephone_number": "423-949-4651",
"fax_number": "423-949-5652"
}
],
"practiceLocations": [
{
"address_1": "1425 McFarland Ave",
"address_purpose": "LOCATION",
"city": "Rossville",
"state": "GA",
"postal_code": "307412215",
"country_code": "US",
"telephone_number": "706-861-0863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1940 Westland Dr SW",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373118102",
"country_code": "US",
"telephone_number": "423-813-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON",
"first_name": "ASHLEY",
"middle_name": "SHAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "27348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunlap, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.