Active NPI
Gabriella Gisela Lozeau, PA-C
- Physician Assistant
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4233
- Practice address
- 119 Epperson St
Athens, TN 37303-3478 - Phone
- (423) 745-7500
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4233 | TN | Primary |
| Physician Assistant | 363A00000X | PA9111749 | FL |
Addresses
Primary practice location
119 Epperson St
Athens, TN 37303-3478
Mailing address
940 Tapestry Way
Knoxville, TN 37932-3534
Phone (772) 341-6047
Other practice location 1
13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233
Phone (904) 224-5437
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4233 | TN | MD | Pharmacist |
| PA9111749 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Locations
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
Interoperability endpoints
- gabriellalozeau@tnmhpf.allscriptsdirect.net
- gabriella.ford@488678167609348.direct.elationemr.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
dba CHI Memorial Family Practice Associates - Trenton
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1972067791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 TAPESTRY WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323534",
"telephone_number": "772-341-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 EPPERSON ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033478",
"telephone_number": "423-745-7500"
}
],
"practiceLocations": [
{
"address_1": "13241 Bartram Park Blvd Unit 209",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585233",
"country_code": "US",
"telephone_number": "904-224-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOZEAU",
"first_name": "GABRIELLA",
"middle_name": "GISELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4233",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
- Russell E Long, CRNA
- Jeffrey Neil Longenecker, PA-C
- Love Without Walls Adult Care (Love Without Walls Mental Health Center)
- Lori Burton Loveday, PT
- Melanie S. Lowe, M.A., CCC-SLP
- Madisonville Primary Care Group PLLC (United Primary Care Athens)
- Anthony Maffucci
- Maria G Malone
- Emily Paige Malugin, BSW
- Timothy Marsh, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.