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NPISignal

Individual Healthcare Provider

Katelyn Elizabeth Eldridge, PA-C

NPI Record: ActivePhysician Assistant
NPI1205446457
Mount Juliet, Tennessee

Provider's NPPES record last updated: April 29, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1205446457
Primary Specialty
Physician Assistant
Practice Location
Mount Juliet, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:54 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Practice Locations

Practice Location

167 Ashton Ave

Mount Juliet, Tennessee 37122-1516

Phone: (828) 351-6000

Additional Practice Location

6541 Rolling Brook Rd Apt 105-11

Roanoke, Virginia 24019-1452

Phone: (828) 651-6000

Fax: (828) 287-7436

Additional Practice Location

390 Kane St

Gate City, Virginia 24251-2753

Phone: (276) 386-3411

Fax: (276) 386-3492

Additional Practice Location

121 Boone Ridge Dr Ste 1004

Johnson City, Tennessee 37615-4993

Phone: (423) 794-5988

Fax: (423) 232-8583

Additional Practice Location

444 Clinchfield St Ste 201

Kingsport, Tennessee 37660-3863

Phone: (423) 230-2100

Fax: (423) 230-2112

Record Information

Enumeration Date
August 3, 2020
Provider's NPPES Record Last Updated
April 29, 2026
Certification Date
April 29, 2026
NPISignal NPPES Dataset
August 2026

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