Individual provider Active NPI

Allison Faye Easom, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Rincon, GA
National Provider Identifier
1114793114
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN278264 Issued in GA
Practice address
131 Silverwood Commercial Dr Ste 100
Rincon, GA 31326-5199
Phone
(912) 826-3927
NPI assigned
Nov 30, 2023
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN278264 GA Primary

Addresses

Primary practice location

131 Silverwood Commercial Dr Ste 100
Rincon, GA 31326-5199

Mailing address

131 Silverwood Commercial Dr Ste 100
Rincon, GA 31326-5199
Phone (912) 826-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617004204 GA Practitioner - Nurse Practitioner 1951812874

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chattanooga, TN 37422

PO Box
Suite 22757
Chattanooga, TN 37422-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lung & Critical Care Specialists, P.C. Current Accepting new patients
Respro Sleep Past Accepting new patients
Alaska Psychiatric Solutions LLC Past Accepting new patients

Locations

601 E General Stewart Way
Hinesville, GA 31313
Phone (912) 355-4557

370 Peachtree St
Jesup, GA 31545
Phone (912) 348-9495

131 Silverwood Ct
Ste 100
Rincon, GA 31326
Phone (912) 826-3927

340 Hodgson Ct
Savannah, GA 31406
Phone (843) 682-3583

340 Hodgson Ct
Ste 3
Savannah, GA 31406
Phone (912) 352-9049

5353 Reynolds St
#4
Savannah, GA 31405

5353 Reynolds St
#4S
Savannah, GA 31405
Phone (912) 819-7800

5353 Reynolds St
Fl 16
Savannah, GA 31405

5353 Reynolds St
Fl 4
Savannah, GA 31405

800 E 68th St
Savannah, GA 31405
Phone 9122329700 ext. 103

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114793114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SILVERWOOD COMMERCIAL DR STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265199",
            "telephone_number": "912-826-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SILVERWOOD COMMERCIAL DR STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265199",
            "telephone_number": "912-826-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASOM",
        "first_name": "ALLISON",
        "middle_name": "FAYE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN278264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.