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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EAGLES NEST OF GASTONIA
NPI 1750652301
Community/Behavioral Health in Jackson, TN

Active since January 13, 2012
374 N PARKWAY STE B4, JACKSON, TN 38305(980) 522-7724 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Eagles Nest Of Gastonia NPPES

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

EAGLES NEST OF GASTONIA (NPI 1750652301) is a healthcare organization registered as a community/behavioral health in Jackson, Tennessee and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Charlotte and lists Gwendolyn Gavin, Owner, as its authorized official.

NPPES Registry Identity

NPI1750652301
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEAGLES NEST OF GASTONIA
Location Address374 N PARKWAY STE B4Jackson, TN 38305-2895
Mailing AddressPo Box 163Gastonia, NC 28053-0163
Phone(980) 522-7724
Organization SubpartNo
Authorized OfficialGwendolyn GavinOwner · (980) 522-7724
Enumeration DateJanuary 13, 2012
Last NPPES UpdateSeptember 19, 2026
NPPES CertifiedSeptember 19, 2026
✔ NPI 1750652301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
374 N PARKWAY STE B4, Jackson, TN 38305
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Secondary Practice Location 1

Location 17619 Idlewild RdCharlotte, NC 28212-5849 · Phone (980) 522-7724

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

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

GLEN TILGHMAN LCSW
Social Worker (Clinical)
374 N PARKWAY STE B4
JACKSON, TN 38305
Madison County (731) 300-5131

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 Eagles Nest Of Gastonia's NPI number?

The NPI number for Eagles Nest Of Gastonia is 1750652301. It was assigned to this organization in the NPPES registry on January 13, 2012.

Where is Eagles Nest Of Gastonia located?

Eagles Nest Of Gastonia is located at 374 N Parkway Ste B4, Jackson, TN 38305. The listed phone number is (980) 522-7724.

What is Eagles Nest Of Gastonia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Eagles Nest Of Gastonia accept?

Health plans from BlueCross BlueShield of Tennessee list Eagles Nest Of Gastonia 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 Eagles Nest Of Gastonia was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.