Individual provider Active NPI

Mitchell Eton, FNP

  • Family Nurse Practitioner
  • Rossville, GA
National Provider Identifier
1689358830
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34070 Issued in TN
Practice address
110 Park City Rd
Rossville, GA 30741-3980
Phone
(706) 858-5000
NPI assigned
Jun 9, 2023
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 34070 TN Primary

Addresses

Primary practice location

110 Park City Rd
Rossville, GA 30741-3980

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

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
I20230721001129 TN Practitioner - Nurse Practitioner 8628438652 Reassigns benefits to 1 organization
I20250522003133 GA Practitioner - Nurse Practitioner 8628438652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34070TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jun 11, 2023 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

110 Park City Rd
Rossville, GA 30741
Phone (706) 585-2702

2626 Walker Rd
Chattanooga, TN 37421
Phone (423) 490-1599

121 E Ravine Rd
Ste 400
Kingsport, TN 37660
Phone (423) 224-3700

8353 Highway 100
Nashville, TN 37221
Phone (629) 888-5539

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1689358830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "706-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETON",
        "first_name": "MITCHELL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossville, GA

Sources for this page

Verify at the official NPI Registry.