Active NPI
Eric Keasler
- Diagnostic Radiology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME161337
- Practice address
- 1300 Miccosukee Rd # B
Tallahassee, FL 32308-5054 - Phone
- (850) 431-7910
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME161337 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1300 Miccosukee Rd # B
Tallahassee, FL 32308-5054
Mailing address
1300 Miccosukee Rd # B
Tallahassee, FL 32308-5054
Other practice location 1
161 E Nine Mile Rd Ste 100
Pensacola, FL 32534-3140
Phone (850) 201-2422
Other practice location 2
4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339
Phone (850) 201-2421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121058600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
5151 N 9TH Ave
Sacred Heart Hospital
Pensacola, FL 32504-8721
Phone (904) 399-5550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716
4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 844-4200
14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Interoperability endpoints
- ekeasler300809@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1417480641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD # B",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD # B",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-7910"
}
],
"practiceLocations": [
{
"address_1": "161 E Nine Mile Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325343140",
"country_code": "US",
"telephone_number": "850-201-2422",
"fax_number": "850-886-2229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4724 N Davis Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325032339",
"country_code": "US",
"telephone_number": "850-201-2421",
"fax_number": "850-886-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEASLER",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME161337",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121058600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.