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MRS. DERRICK LEIGH EASOM
NPI 1487138251
Nurse Practitioner in Valdosta, GA

Active since September 18, 2018
2810 N OAK ST, VALDOSTA, GA 31602(229) 938-6495 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Oct 17, 2018, Sep 18, 2018 (3 updates tracked since 2018).

About Mrs. Derrick Leigh Easom NPPES

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

MRS. DERRICK LEIGH EASOM (NPI 1487138251) is an individual nurse practitioner in Valdosta, Georgia, licensed in Georgia (RN248094) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1487138251
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DERRICK LEIGH EASOM
Location Address2810 N OAK STValdosta, GA 31602-1716
Mailing Address2810 N Oak StValdosta, GA 31602-1716 · (229) 938-6495
Phone(229) 938-6495
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1487138251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN248094
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2810 N OAK ST, Valdosta, GA 31602
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Other Providers at the Same Location NPPES 3

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

BRIDGETT MOORE M.D.
Specialist
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 259-0019
CANDACE ISABEL ROMAN
Nurse Practitioner
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 259-0019
AZALEA CENTER FOR PLASTIC SURGERY PC
Specialist
2810 N OAK ST
VALDOSTA, GA 31602
Lowndes County (229) 259-0019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Easom's NPI number?

The NPI number for Derrick Easom is 1487138251. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Derrick Easom located?

Derrick Easom practices at 2810 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 938-6495.

What is Derrick Easom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Derrick Easom was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.