Individual provider Active NPI

Douglas A Eastham, PA-C

  • Surgical Physician Assistant
  • Franklin, TN
National Provider Identifier
1760796395
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4038 Issued in TN
Practice address
3000 Edward Curd LN
Franklin, TN 37067-5791
Phone
(615) 791-2630
Fax
(615) 791-2639
NPI assigned
Aug 6, 2010
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4038 TN
Medical Physician Assistant 363AM0700X 085003810 IL
Surgical Physician Assistant 363AS0400X 085003810 IL
Surgical Physician Assistant 363AS0400X 4038 TN Primary
Physical Therapist 225100000X 4038 TN

Addresses

Primary practice location

3000 Edward Curd LN
Franklin, TN 37067-5791

Mailing address

3000 Edward Curd LN
Franklin, TN 37067-5791
Phone (615) 791-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200211001109 TN Practitioner - Physician Assistant 7012196066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Edward Curd LN
Franklin, TN 37067-5791
Phone (615) 790-7992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
60.13
Promoting interoperability
99
Improvement activities
40
Cost
69.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
4038TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Springs Orthopaedics, PC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Bone and Joint Institute of Tennessee Inc CurrentSince Apr 12, 2022 Accepting new patients
Bone and Joint Institute of Tennessee Inc CurrentSince Apr 12, 2022 Accepting new patients
Seven Springs Orthopaedics, PC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Orthopaedic Center of Illinois Past Accepting new patients
Memorial Expresscare, LLC Past Accepting new patients

Locations

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

3000 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-2630

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Interoperability endpoints

  • Direct secure messaging: douglas.eastham.1@21476.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1760796395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4038",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003810",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085003810",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "4038",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.