EASTLAKE MEDICAL, PLLC
NPI 1467992446
Clinic/Center - Rural Health in La Follette, TN

Active since February 24, 2017CLIA 44D2243356 · Waiver
2205 JACKSBORO PIKE, LA FOLLETTE, TN 37766(423) 352-6500 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Sep 9, 2025, Jun 11, 2025 and 2 more (5 updates tracked since 2017).

About Eastlake Medical, Pllc NPPES

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

EASTLAKE MEDICAL, PLLC (NPI 1467992446), doing business as Eastlake Urgent Care, is a healthcare organization registered as a rural health in La Follette, Tennessee and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Paula Michelle Madron, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1467992446
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEASTLAKE MEDICAL, PLLC
Location Address2205 JACKSBORO PIKELa Follette, TN 37766-2904
Mailing Address2205 Jacksboro PikeLa Follette, TN 37766-2904 · (423) 352-6500 · Fax (423) 352-6501
Organization SubpartNo
Authorized OfficialPaula Michelle MadronPractice Admin · (423) 352-6500
Enumeration DateFebruary 24, 2017
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1467992446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2205 JACKSBORO PIKE, La Follette, TN 37766

Other Names 1

Doing Business AsEastlake Urgent Care

Other Identifiers 2

Other6065731Aetna
MedicaidQ028641TN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2243356

Eastlake Medical, PLLC · Lafollette, TN
Active · expires Nov 17, 2027
CLIA Number44D2243356
Laboratory TypeUrgent Care
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorRyan Unger
Laboratory Phone(423) 352-6500
Laboratory LocationEastlake Medical, PLLC2205 Jacksboro Pike, Lafollette, TN 37766
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
2205 JACKSBORO PIKE
LA FOLLETTE, TN 37766
Nurse Practitioner (Family)
2205 JACKSBORO PIKE
LA FOLLETTE, TN 37766

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 Eastlake Medical, PLLC's NPI number?

The NPI number for Eastlake Medical, PLLC is 1467992446. It was assigned to this organization in the NPPES registry on February 24, 2017. The provider is doing business as Eastlake Urgent Care.

Where is Eastlake Medical, PLLC located?

Eastlake Medical, PLLC is located at 2205 Jacksboro Pike, La Follette, TN 37766. The listed phone number is (423) 352-6500.

What is Eastlake Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Eastlake Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2243356) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastlake Medical, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Eastlake Medical, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastlake Medical, PLLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.