Eden Cheyenne Harmon, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rogersville, TN
NPI 1992517445 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1992517445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 38039 (TN)
- Practice address
- 300 Park Blvd
Rogersville, TN 37857-2912 - Phone
- (423) 347-6021
- NPI assigned
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
1116 Hwy 11 W
Church Hill, TN 37642-3023
Phone (423) 226-5109
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250310001992 | TN | Practitioner - Nurse Practitioner | 6901327790 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1116 Highway 11 W
Church Hill, TN 37642
Phone (423) 226-5109
52 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 559-9700
300 Park Blvd
Rogersville, TN 37857
Phone (423) 347-6021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 38039 | TN | Yes |
Addresses
Primary practice location
300 Park Blvd
Rogersville, TN 37857-2912
Mailing address
1359 Old Highway 66
Rogersville, TN 37857-5133
Phone (423) 552-5073
Other providers in Rogersville, TN
- Jeri Danielle Grimes
- Timothy Davis Gunnin
- Brance Edwin Hagood
- Tammy Regina Hagood
- Hamblen Neuroscience Center, PC
- Teresa Spring Harper
- Michaeline Nichole Harrison
- Chelsea Brooke Hartsook-Fields
- Timothy J. Hawk
- Hawkins County Emergency Medical Services
All providers in Rogersville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.