Individual provider Active NPI

George W Eason, MD

  • Diagnostic Radiology Physician
  • Goldsboro, NC
National Provider Identifier
1710912191
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20123 Issued in NC
Practice address
2808 McLamb PL
Goldsboro, NC 27534-1600
Phone
(919) 736-4300
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20123 NC Primary

Addresses

Primary practice location

2808 McLamb PL
Goldsboro, NC 27534-1600

Mailing address

1318 Airlie Rd
Wilmington, NC 28403-3727
Phone (910) 200-1438

Other identifiers 1

IdentifierTypeStateIssuer
8929818MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730001974 GA Practitioner - Diagnostic Radiology 7315993185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20123NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Ultrasound & Imaging CurrentSince Jan 3, 2005 Accepting new patients
North Strand Ultra Sound Vascular & Vein Center CurrentSince Dec 1, 2020 Accepting new patients
Shoreline Imaging Center CurrentSince Feb 1, 2019 Accepting new patients
Atlantic Radiology Associates Diagnostic Radiology Past Accepting new patients
Atlantic Radiology Associates Diagnostic Radiology Past Accepting new patients
Neurology & Pain Management, PLLC PastSince Apr 2, 2005 Accepting new patients
Atlantic Diagnostic Center PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1710912191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 AIRLIE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033727",
            "telephone_number": "910-200-1438",
            "fax_number": "910-679-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341600",
            "telephone_number": "919-736-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "20123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929818",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.