EASTLAKE MEDICAL, PLLC
NPI 1467992446
Clinic/Center - Rural Health in La Follette, TN
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastlake Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Eastlake Medical, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Knoxville, TN 37909
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is Eastlake Medical, PLLC enrolled in Medicare?
Yes. Eastlake Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastlake Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Eastlake Medical, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 5 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.
# Eastlake Medical, Pllc · NPI 1467992446
Rural Health organization in La Follette, Tennessee. Organization record, active in the CMS NPPES registry since February 24, 2017.
## Identity
- **NPI:** 1467992446 (Entity type: Organization)
- **Enumerated:** February 24, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Eastlake Urgent Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Paula Madron, PRACTICE ADMIN
## Practice location
- **Address:** 2205 JACKSBORO PIKE, La Follette, TN 37766-2904
- **Phone:** (423) 352-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2026
- **Other identifiers:** Other 6065731; Medicaid Q028641 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467992446) · Data from the CMS NPPES public registry.