Conrad Harlan Easley, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

11323 Issued in GA

Practice address

1501 Broadrick Drive
Suite 3
Dalton, GA 30720

Phone

(706) 226-6318

Fax

(706) 278-6031

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1326157488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DRIVE",
            "address_2": "SUITE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-226-6318",
            "fax_number": "706-278-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DRIVE",
            "address_2": "SUITE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-226-6318",
            "fax_number": "706-278-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "CONRAD",
        "middle_name": "HARLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "11323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084389A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "203503540",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326157488",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00084389A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura S Dyer, L.M.T.
• Kayla Kristine Dziuba, DO
• Brittany Alexis Eaker, FDNP
• Allison Anastasia Eargle, MCD, CCC-SLP
• Earley Daze Anesthesia LLC
• Rachel Stuckey Easterwood, WHNP-BC
• Ecc Chatsworth Dalton MC, LLC
• Morgan Eddy, CRNA
• Michelle Blalock Edgeman, CNM
• Sarah Edgeman, NP

• Orthopaedic Surgery Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.