Individual provider Active NPI

Lee Hunter Easterwood, M.D.

  • Surgery Physician
  • Statesville, NC
National Provider Identifier
1366503534
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2009-00756 Issued in NC
Practice address
208 Old Mocksville Rd
Statesville, NC 28625-1953
Phone
(704) 838-8220
NPI assigned
Dec 12, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 63872 TN
Surgery Physician 208600000X 33312 SC
Surgery Physician 208600000X 17587 MS
Surgery Physician 208600000X 2009-00756 NC Primary

Addresses

Primary practice location

208 Old Mocksville Rd
Statesville, NC 28625-1953

Mailing address

PO Box 1845
Charlotte, NC 28263-0001
Phone (704) 873-4277

Other practice location 1

421 W Meeting St
Lancaster, SC 29720-2321
Phone (803) 286-8688

Other practice location 2

145 W 4th St Ste 102
Cookeville, TN 38501-2476
Phone (931) 783-5515

Other identifiers 1

IdentifierTypeStateIssuer
333124MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TX, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090721000641 NC Practitioner - General Surgery 3779533393 Reassigns benefits to 1 organization
I20110322000444 SC Practitioner - General Surgery 3779533393 Reassigns benefits to 2 organizations
I20210625000610 TX Practitioner - General Surgery 3779533393 Reassigns benefits to 1 organization
I20211101001945 TN Practitioner - General Surgery 3779533393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17587MSMDSurgery Physician
2009-00756NCMDSurgery Physician
33312SCMDSurgery Physician
63872TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Aug 18, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care, Inc Surgery CurrentSince Mar 1, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 24, 2019 Accepting new patients
Piedmont Healthcare, PA CurrentSince Apr 11, 2022 Accepting new patients
Cookeville Regional Medical Center CurrentSince Aug 18, 2021 Accepting new patients
Lawton Indian Hospital CurrentSince May 17, 2021 Accepting new patients
McLeod Physician Associates II Surgery Current Accepting new patients
Piedmont Healthcare, P.a. Surgery CurrentSince Apr 11, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 24, 2019 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

721 S Doctors Dr
Cheraw, SC 29520
Phone (843) 320-9086

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

421 W Meeting St
Lancaster, SC 29720
Phone (803) 285-8700

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

145 W 4th St
Ste 102
Cookeville, TN 38501
Phone (931) 646-2799

145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1366503534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282630001",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251953",
            "telephone_number": "704-838-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 W Meeting St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202321",
            "country_code": "US",
            "telephone_number": "803-286-8688",
            "fax_number": "803-286-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012476",
            "country_code": "US",
            "telephone_number": "931-783-5515",
            "fax_number": "931-783-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTERWOOD",
        "first_name": "LEE",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "63872",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "33312",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "17587",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2009-00756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.