Individual provider Active NPI

Ronald Byron Easley, MD

  • Internal Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1730243445
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
057959 Issued in NC
Practice address
101 Robeson St
Suite 405
Fayetteville, NC 28301-5552
Phone
(910) 609-1623
Fax
(910) 321-6248
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 057959 NC Primary

Addresses

Primary practice location

101 Robeson St
Suite 405
Fayetteville, NC 28301-5552

Mailing address

101 Robeson St
Suite 405
Fayetteville, NC 28301-5552
Phone (910) 609-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041025000943 NC Practitioner - EndocrinologyPractitioner - Internal Medicine 3971564782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057959NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Apr 19, 2022 Accepting new patients

Locations

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1730243445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST",
            "address_2": "SUITE 405",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015552",
            "telephone_number": "910-609-1623",
            "fax_number": "910-321-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST",
            "address_2": "SUITE 405",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015552",
            "telephone_number": "910-609-1623",
            "fax_number": "910-321-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "RONALD",
        "middle_name": "BYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "057959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.