MR. WRIGHT ABBOT EASTERLIN (NPI# 1619983483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619983483 |
| Entity Type | Individual |
| Full Name | MR. WRIGHT ABBOT EASTERLIN |
| Credential | PA |
| Practice Address |
152 North Main Street Wadley GA 30477 |
| Mailing Address |
152 N Main St Wadley GA 30477-4951 |
| Practice Telephone | 4786257000 |
| Practice Fax Number | 4786258907 |
| Mailing Telephone | 4786257000 |
| Mailing Fax Number | 4786258907 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002747 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000172A | 05 |
| Street Address |
152 NORTH MAIN STREET |
| City | WADLEY |
| State | GA |
| Zip Code | 30477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699782037 | Hospital Authority of Jefferson County and The City of Louisville | Clinic/Center | 152 North Main Street, Wadley, GA 30477-1178 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407119894 | Bernice Scales | Dentist | 36 Cheatham Street, Wadley Dental Center, Wadley, GA 30477 | 2012-06-20 |
| 1750448874 | Swan Pharmacy Inc | Pharmacy | 48 N Main St, Wadley, GA 30477 | 2007-01-02 |
| 1346257383 | John W Farrior | Physician Assistant | 152 N Main Street, Wadley, GA 30477 | 2006-08-02 |
| 1346625928 | East Georgia Healthcare Center Inc | Clinic/Center | 257 N Main St, Wadley, GA 30477 | 2015-07-24 |
| 1679630149 | John David Gunn | Pharmacist | 48 N Main St, Wadley, GA 30477 | 2007-01-03 |
| 1669536181 | Robert R Perez | General Practice | 51 North Main Street, Wadley, GA 30477 | 2006-12-20 |
| 1295995611 | Robert R Perez Md PC | General Practice | 51 North Main Street, Wasley, GA 30477-0760 | 2008-06-10 |
| 1740525088 | Vero Health I, LLC | Skilled Nursing Facility | 10200 Us Highway 1 S, Wadley, GA 30477-3864 | 2012-11-27 |
| 1306831755 | Cvw Management Inc. | Skilled Nursing Facility | 10200 U S Highway 1 South, Wadley, GA 30477-3864 | 2005-09-13 |
| 1255815304 | Wadley Snf Operator LLC | Skilled Nursing Facility | 10200 Us Highway 1 S, Wadley, GA 30477-3864 | 2018-09-24 |
| Find all providers in zip 30477 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346257383 | John W Farrior | Physician Assistant | 152 N Main Street, Wadley, GA 30477 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.