Individual provider Active NPI

Sydney Eagerton Casey, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1750845798
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-145339 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
Fax
(334) 280-1600
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-145339 AL
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-145339 AL Primary

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

PO Box 241587
Montgomery, AL 36124-1587
Phone (334) 280-1511

Other names 1

  • Miss Sydney Caroline Eagerton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20210311001544 AL Practitioner - Nurse Practitioner 2264848563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, 31 clinicians

Practice addresses (Care Compare)

2601 Village Professional Dr N
Opelika, AL 36801-4784
Phone (334) 528-5400

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-145339ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Heart and Vascular, LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
East Alabama Heart and Vascular, LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2601 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-5959

1701 48th St
Valley, AL 36854
Phone (334) 756-8425

Organizations & group practices 2

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.

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1750845798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241587",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241587",
            "telephone_number": "334-280-1511",
            "fax_number": "334-280-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "SYDNEY",
        "middle_name": "EAGERTON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-145339",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-145339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "EAGERTON",
            "middle_name": "CAROLINE",
            "prefix": "MISS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.