NPIMap

Individual provider Active NPI

Michael D Easterling, PA

  • Surgical Physician Assistant
  • Montgomery, AL
National Provider Identifier
1720154768
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.12 Issued in AL
Practice address
2055 E South Blvd Ste 603
Montgomery, AL 36116-2014
Phone
(334) 747-8800
Fax
(334) 747-8810
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.12 AL Primary

Addresses

Primary practice location

2055 E South Blvd Ste 603
Montgomery, AL 36116-2014

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000114 AL Practitioner - Physician Assistant 6406021120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Authority for Baptist Health, an Affiliate of UabhsGroup PAC ID 8426076670, 270 clinicians

Practice addresses (Care Compare)

2055 E S Blvd
Montgomery, AL 36116-2002

2055 E S Blvd
Montgomery, AL 36116-2014

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-2987

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 11, 2020 Accepting new patients
De Medical, LLC CurrentSince Dec 16, 2011 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Apr 11, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 601
Montgomery, AL 36116
Phone (334) 281-9000

2055 E South Blvd
Ste 603
Montgomery, AL 36116
Phone (334) 281-9000

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

Interoperability endpoints

  • Direct secure messaging: michael.easterling@direct.baptistfirst.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1720154768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 603",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162014",
            "telephone_number": "334-747-8800",
            "fax_number": "334-747-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLING",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.