STANLEY R EASTERLING MD
NPI 1154359818
Family Medicine in Vicksburg, MS

Q: What is Stanley Easterling's NPI number?

The NPI number for Stanley Easterling is 1154359818. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Stanley Easterling's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 29, 2006PECOS Enrolled

104 MCAULEY DR, VICKSBURG, MS 39183(601) 638-7271 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stanley R Easterling Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANLEY R EASTERLING MD (NPI 1154359818) is an individual family medicine provider in Vicksburg, Mississippi, licensed in Mississippi (10687) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154359818

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTANLEY R EASTERLINGCredential: MD

Location Address104 MCAULEY DRVicksburg, MS 39183-2825

Mailing Address1000 Urban Center Dr, Ste 600Vestavia, AL 35242-2584 · (601) 638-7271

Phone(601) 638-7271

Sole ProprietorNo

Enumeration DateJune 29, 2006

Last NPPES UpdateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1154359818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 10687

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

104 MCAULEY DR, Vicksburg, MS 39183

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Other Identifiers 3

Other4216184MS · Aetna

Medicaid00114107MS

Medicaid1383872LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley R Easterling Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKSBURG NEPHROLOGY LLC

Internal Medicine (Nephrology)