Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Eastlack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538514971

Daniel Eastlack is a Diagnostic Radiology in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2016, 10 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

7600 Wolf River Blvd Ste 200
Germantown, TN 38138-1788
Phone: (901) 747-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 42401 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538514971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2016
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address7600 Wolf River Blvd Ste 200, Germantown, TN 38138-1788

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Germantown