Wright Abbot Easterlin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002747 Issued in GA

Practice address

152 North Main Street
Wadley, GA 30477

Phone

(478) 625-7000

Fax

(478) 625-8907

NPI assigned

Jul 31, 2006

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Authority of Jefferson County and the City of LouisvilleGroup PAC ID 7214823046, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Hospital Hospital, Louisville, GA, CCN 110100

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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 Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • General Acute Care Hospital
  • Louisville, GA
  • NPI 1710992433
  Medicare reassignment Care Compare group
• Hospital Authority of Jefferson County and the City of Louisville

  dba Physicians' Health Group

  • Rural Health Clinic/Center
  • Louisville, GA
  • NPI 1215943915
  NPD
• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital Oncology Clinic

  • Oncology Clinic/Center
  • Louisville, GA
  • NPI 1548144868
  NPD
• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)
• Hospital Authority of Jefferson County and the City of Louisville

  dba Physicians Health Group Wadley

  • Rural Health Clinic/Center
  • Wadley, GA
  • NPI 1699782037
  NPD (past)

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

• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • General Acute Care Hospital
  • Louisville, GA
  • NPI 1710992433
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1619983483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N MAIN ST",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304774951",
            "telephone_number": "478-625-7000",
            "fax_number": "478-625-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NORTH MAIN STREET",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "30477",
            "telephone_number": "478-625-7000",
            "fax_number": "478-625-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLIN",
        "first_name": "WRIGHT",
        "middle_name": "ABBOT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospital Authority of Jefferson County and the City of Louisville (Physicians Health Group Wadley)

• Physician Assistant in Wadley, GA
• Providers in Wadley, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.