Eagles Nest of Gastonia

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAGLES NEST OF GASTONIA

Practice address

374 N Parkway Ste B4
Jackson, TN 38305-2895

Phone

(980) 522-7724

NPI assigned

Jan 13, 2012

Last updated

Sep 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn Gavin

Title

Owner

Phone

(980) 522-7724

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly M Beare, CRISIS CLINICIAN

  • Counselor
  • Jackson, TN
  • NPI 1043352610
  NPD (past)
• Stephen Edward Collier, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1316058340
  NPD (past)
• Kimberly Fowler, LCSW

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1831245166
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1750652301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280530163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N PARKWAY STE B4",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052895",
            "telephone_number": "980-522-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7619 Idlewild Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282125849",
            "country_code": "US",
            "telephone_number": "980-522-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLES NEST OF GASTONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-522-7724",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey N Dyer, PHYSICAL THERAPIST
• Lisa J Dyer, DNP, APRN, FNP-BC
• Dyersburg Kidney Clinic, Inc
• E H Dudley, DDS, PLLC (Aspen Dental)
• Each1 Personal Care Services
• Allison Ealey
• James Tyler Earls, RN
• Cynthia A Early, FNP
• Brent Edward Earwood, CRNA
• Patricia Easley

• Community/Behavioral Health Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.