Individual provider Active NPI

Ashley Shay Eaton

  • Nurse Practitioner
  • Dunlap, TN
National Provider Identifier
1386265361
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27348 Issued in TN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 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
I20200901003565 TN Practitioner - Nurse Practitioner 7911324231 Reassigns benefits to 1 organization
I20230331000748 GA Practitioner - Nurse Practitioner 7911324231 Reassigns benefits to 1 organization

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
Physiatry Consultants of Ga LLCGroup PAC ID 5698182616, 13 clinicians
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

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

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of Ga LLC CurrentSince Mar 1, 2023 Accepting new patients
NP Health of TN PLLC CurrentSince Feb 1, 2023 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.

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

Verify at the official NPI Registry.