Individual provider Active NPI

Linda Faye Eason, FNP

  • Registered Nurse
  • Fort Benning, GA
National Provider Identifier
1568544427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
37488 Issued in AL
Practice address
6540 Way Ave BLDG 2822
Fort Benning, GA 31905-3799
Phone
(706) 545-4033
Fax
(706) 545-3022
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 37488 AL Primary

Addresses

Primary practice location

6540 Way Ave BLDG 2822
Fort Benning, GA 31905-3799

Mailing address

7401 Blackmon Rd Apt 116
Columbus, GA 31909-7513
Phone (706) 545-0984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160218000289 GA Practitioner - Nurse Practitioner 3678878311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37488ALMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Family Medicine Clinic, Inc CurrentSince Jan 12, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10309/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568544427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 BLACKMON RD APT 116",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097513",
            "telephone_number": "706-545-0984",
            "fax_number": "706-545-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 WAY AVE BLDG 2822",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319053799",
            "telephone_number": "706-545-4033",
            "fax_number": "706-545-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "LINDA",
        "middle_name": "FAYE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "37488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

Verify at the official NPI Registry.