Individual provider Active NPI

James Alan Easter, NP-C

  • Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1467797977
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903147 Issued in MS
Practice address
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone
(662) 369-2040
NPI assigned
Dec 10, 2012
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903147 MS Primary

Addresses

Primary practice location

400 S Chestnut St
Aberdeen, MS 39730-3335

Mailing address

400 S Chestnut St Ofc
Aberdeen, MS 39730-3335
Phone (662) 369-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190827001346 MS Practitioner - Nurse Practitioner 5395752927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Practice addresses (Care Compare)

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903147MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Jul 1, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Jul 1, 2019 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients

Locations

10996 Four Seasons Pl
Ste 100A
Crown Point, IN 46307
Phone (219) 213-2380

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

400 S Chestnut St
Ofc
Aberdeen, MS 39730

Organizations & group practices 4

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 2

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1467797977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CHESTNUT ST OFC",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303335",
            "telephone_number": "662-369-2040",
            "fax_number": "928-283-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303335",
            "telephone_number": "662-369-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-10",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

Verify at the official NPI Registry.