Kenneth Scott Easters, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

10780 Issued in GA

Practice address

1120 15TH Street
Af-1020
Augusta, GA 30912

Phone

(706) 721-4467

Fax

(706) 721-9081

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC, NC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency Medicine

Education

Liberty Univ College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoke Emergency Group, PCGroup PAC ID 7214200146, 44 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnston Health Hospital, Smithfield, NC, CCN 340090
• Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151
• Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keasters132125@capefearvalley.direct-ci.com

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.

• Hoke Emergency Group, PC

  • Emergency Medicine Physician
  • Raeford, NC
  • NPI 1003337528

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460

  Single Specialty

  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA, Single Specialty

  Medicare reassignment NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  GA, Single Specialty

  Medicare reassignment NPD
• NC Emergency Physician Services, PLLC

  • Emergency Medicine Physician
  • Eden, NC
  • NPI 1518374800

  Single Specialty

  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of South Carolina LLC

  • Emergency Medicine Physician
  • Aiken, SC
  • NPI 1730636168

  Single Specialty

  Medicare reassignment NPD
• Aquatic Physical Therapy & Beyond, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1861462558

  Single Specialty

  NPD (past)

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

• Halifax Regional Medical Center Inc

  • General Acute Care Hospital
  • Roanoke Rapids, NC
  • NPI 1346273943
  Care Compare affiliation
• Hoke Healthcare LLC

  • General Acute Care Hospital
  • Raeford, NC
  • NPI 1750788238
  Care Compare affiliation
• Johnston Health Services Corporation

  • General Acute Care Hospital
  • Smithfield, NC
  • NPI 1619911104
  Care Compare affiliation
• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1659440907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET",
            "address_2": "AF-1020",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-4467",
            "fax_number": "706-721-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH STREET",
            "address_2": "AF-1020",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-4467",
            "fax_number": "706-721-9081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393338",
            "country_code": "US",
            "telephone_number": "912-685-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTERS",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "10780",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Central Health District
• East Central Health District
• East Central Health District
• East Central Public Health District
• East Georgia Internal Medicine ,LLC
• Blake Eaton, DDS
• Joanne Eaves
• Kanisha Nicole Eberhardt, QASP-S
• Chelsea R Eberhart
• Frank Andrew Eberheart, PA-C

• Emergency Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.