Individual provider Active NPI

Antonio Lee Eddings Sr., FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1821491929
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017355 Issued in TN
Practice address
106 Montague Way
Madison, TN 37115-5202
Phone
(615) 870-5772
Fax
(615) 870-5772
NPI assigned
Oct 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000017355 TN
Family Nurse Practitioner 363LF0000X APRN001773 NV
Family Nurse Practitioner 363LF0000X APN0000017355 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001773 NV

Addresses

Primary practice location

106 Montague Way
Madison, TN 37115-5202

Mailing address

106 Montague Way
Madison, TN 37115-5202
Phone (615) 870-5756

Other practice location 1

6370 W Flamingo Rd # 14K90
Las Vegas, NV 89103-2273
Phone (615) 870-5756

Other identifiers 1

IdentifierTypeStateIssuer
Q026921MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161007000009 TN Practitioner - Nurse Practitioner 8527356559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Montague Way
Madison, TN 37115-5202
Phone (615) 870-5756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001773NVMDPsychiatric/Mental Health Nurse Practitioner
APN0000017355TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Living Inc Family CurrentSince Oct 1, 2025 Accepting new patients
Pain Management Group LLC CurrentSince Jan 1, 2020 Accepting new patients
Volunteer Behavioral Health Care System CurrentSince Mar 27, 2017 Accepting new patients
All About You Healthcare LLC Psychiatric/Mental Health CurrentSince Jan 14, 2017 Accepting new patients

Locations

301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

342 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 457-1133

106 Montague Way
Madison, TN 37115
Phone (615) 870-5754

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1821491929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MONTAGUE WAY",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155202",
            "telephone_number": "615-870-5756",
            "fax_number": "615-870-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MONTAGUE WAY",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155202",
            "telephone_number": "615-870-5772",
            "fax_number": "615-870-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6370 W Flamingo Rd # 14K90",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032273",
            "country_code": "US",
            "telephone_number": "615-870-5756",
            "fax_number": "615-870-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDINGS",
        "first_name": "ANTONIO",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000017355",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017355",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026921",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.