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PATRICIA DIANE BUCKNER EDD
NPI 1215034764
Psychologist - Clinical in Chattonooga, TN

Active since September 19, 2006PECOS Enrolled
6110 SHALLOWFORD RD, CHATTONOOGA, TN 37421(800) 632-6074(866) 341-7509 Get Directions Write a Review

NPPES record last updated: February 9, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Patricia Diane Buckner Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA DIANE BUCKNER EDD (NPI 1215034764) is an individual clinical provider in Chattonooga, Tennessee, licensed in Tennessee (P0000001865) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215034764
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePATRICIA DIANE BUCKNERCredential: EDD
Location Address6110 SHALLOWFORD RDChattonooga, TN 37421
Mailing Address7513 Dove Valley DriveNashville, TN 37221-2322 · (615) 662-8986
Phone(800) 632-6074
Fax(866) 341-7509
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateFebruary 9, 2008
✔ NPI 1215034764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TN · P0000001865
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6110 SHALLOWFORD RD, Chattonooga, TN 37421
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Other Names 1

Former Name (1)Patricia Diane Neilson Edd

Other Identifiers 2

Medicare PIN3686233TN
Medicaid3686238TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Diane Buckner Edd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBEKAH GOOD DOREAU M.A.
Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (888) 291-4357
TODD DOUGLAS EATON PH.D.
Psychologist (Clinical)
6110 SHALLOWFORD RD, C O CRC
CHATTANOOGA, TN 37421
Hamilton County (800) 632-6074
KELLI CRAIG
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031
AMORA ANN GORDON
Social Worker
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (765) 977-8671
BRIAN ALLEN KEPLINGER
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (888) 291-4357
MARY IVON MONTGOMERY
Marriage & Family Therapist
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031
DERONEASHA SMARTT LMSW
Counselor
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 475-3109
MS. KAREN D WILLIS
Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Buckner's NPI number?

The NPI number for Patricia Buckner is 1215034764. It was assigned to this individual provider in the NPPES registry on September 19, 2006. The provider is also known as Patricia Diane Neilson Edd.

Where is Patricia Buckner located?

Patricia Buckner practices at 6110 Shallowford Rd, Chattonooga, TN 37421. The listed phone number is (800) 632-6074.

What is Patricia Buckner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Patricia Buckner enrolled in Medicare?

Yes. Patricia Buckner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Buckner was last updated on February 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.