Individual provider Active NPI

Lauren Folkens, PA-C

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1821497561
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3789 Issued in TN
Practice address
1510 Gunbarrel Rd Ste 120
Chattanooga, TN 37421-7252
Phone
(423) 493-5220
Fax
(423) 493-5228
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0004011 CO
Surgical Physician Assistant 363AS0400X PA09902 TX
Physician Assistant 363A00000X 3789 TN Primary

Addresses

Primary practice location

1510 Gunbarrel Rd Ste 120
Chattanooga, TN 37421-7252

Mailing address

1510 Gunbarrel Rd Ste 120
Chattanooga, TN 37421-7252
Phone (423) 493-5220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LAUREN.MILLEVILLE@hca1.eclinicaldirectplus.com

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
I20190722003582 TN Practitioner - Physician Assistant 5294956462

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004011COMDSurgical Physician Assistant
PA09902TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lauren.milleville@hca1.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1821497561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 GUNBARREL RD STE 120",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217252",
            "telephone_number": "423-493-5220",
            "fax_number": "423-493-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 GUNBARREL RD STE 120",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217252",
            "telephone_number": "423-493-5220",
            "fax_number": "423-493-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKENS",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004011",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09902",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAUREN.MILLEVILLE@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1510 Gunbarrel Rd Ste 120",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374217252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.