NPIMap

Organization Active NPI

Eastern Health System, Inc.

  • Family Medicine Physician
  • Oneonta, AL
National Provider Identifier
1821115106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTERN HEALTH SYSTEM, INC.
Practice address
150 Gilbreath Dr
Suite 202
Oneonta, AL 35121-2827
Phone
(205) 274-3055
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bryan Karson
Title
Senior Vice President of Finance
Phone
(205) 989-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

150 Gilbreath Dr
Suite 202
Oneonta, AL 35121-2827

Mailing address

150 Gilbreath Dr
Suite 202
Oneonta, AL 35121-2827
Phone (205) 274-3055

Other names 1

  • Medical Center Blount Family Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Easternblount Memorial9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Gilbreath Dr
Ste 202
Oneonta, AL 35121
Phone (205) 274-3055

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821115106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "address_2": "SUITE 202",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-274-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "address_2": "SUITE 202",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-274-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "205-989-4826"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Blount Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.