Grace Ann Rose Eldridge
NPI 1639548670ActiveIndividual· Specialist/Technologist, Athletic Trainer· Maryville, TN
Specialist/Technologist, Athletic Trainer in Maryville, Tennessee, licensed in TN, with an NPI issued in September 2015.
Overview
| NPI | 1639548670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 21, 2015 |
| Last updated in NPPES | Aug 5, 2026 |
| Certified by provider | Aug 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 2095 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Maryville
- 1942264676
- 1922176692
- 1770029233
- 1720156409
- 1245575885
- 1730210881
- 1033702733
- 1851214910
- 1184139545
- 1922071950
- 1265143093