Individual provider Active NPI

Patricia Ann Eason, M.D.

  • General Practice Physician
  • Chattanooga, TN
National Provider Identifier
1831276104
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD016565 Issued in TN
Practice address
730 E 11TH St
Chattanooga, TN 37403-3103
Phone
(423) 265-5708
Fax
(423) 265-5713
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD016565 TN Primary

Addresses

Primary practice location

730 E 11TH St
Chattanooga, TN 37403-3103

Mailing address

4124 Melinda Dr
Chattanooga, TN 37416-3005
Phone (423) 894-7434

Other identifiers 1

IdentifierTypeStateIssuer
Q003136MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016565TNMDAdolescent Medicine (Family Medicine) Physician
16585TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1831276104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 MELINDA DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163005",
            "telephone_number": "423-894-7434",
            "fax_number": "423-892-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033103",
            "telephone_number": "423-265-5708",
            "fax_number": "423-265-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD016565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003136",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.