Angela Eady

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1-076613 Issued in AL

Practice address

2506A Danville Rd SW Ste 103
Decatur, AL 35603-4213

Phone

(256) 301-9749

Fax

(256) 301-9753

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Ecm Health Group LLC

  • Obstetrics & Gynecology Physician
  • Florence, AL
  • NPI 1346588852

  AL, Physician Assistant

  Medicare reassignment NPD
• Kids Town Pediatrics, P.C.

  • Pediatrics Physician
  • Decatur, AL
  • NPI 1831378967
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1487975413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506A DANVILLE RD SW STE 103",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034213",
            "telephone_number": "256-301-9749",
            "fax_number": "256-301-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506A DANVILLE RD SW STE 103",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034213",
            "telephone_number": "256-301-9749",
            "fax_number": "256-301-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADY",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1-076613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xochitl Dupre
• Carla Sanford Durham, MT-BC
• Jeffery Daniel Dutton, PHD. LPC MAC NCC
• Landon Dutton
• Cynthia Eades, LPC
• Eagle Consulting, LLC
• Tawne Easley
• Ingram D Easter, MD
• Eh Health Home Health of Alabama, LLC
• Justin Eidsmoe, DPT

• All providers in Decatur, AL
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.