JACOB EVERETT EASTERDAY MD
NPI 1740037381
Student in an Organized Health Care Education/Training Program in Anderson, SC

Active since May 01, 2024PECOS Enrolled
2000 E GREENVILLE ST STE 3700, ANDERSON, SC 29621(864) 512-1916 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Everett Easterday Md NPPES

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

JACOB EVERETT EASTERDAY MD (NPI 1740037381) is an individual student in an organized health care education/training program in Anderson, South Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740037381
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB EVERETT EASTERDAYCredential: MD
Location Address2000 E GREENVILLE ST STE 3700Anderson, SC 29621-1725
Mailing Address2000 E Greenville St Ste 3700Anderson, SC 29621-1725
Sole ProprietorNo
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
NPI 1740037381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2000 E GREENVILLE ST STE 3700, Anderson, SC 29621

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Everett Easterday 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Geriatric Medicine)
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Student in an Organized Health Care Education/Training Program
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Pharmacist
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Family Medicine
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621
Family Medicine (Sports Medicine)
2000 E GREENVILLE ST STE 3700
ANDERSON, SC 29621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740037381, enumerated as an "individual" on May 01, 2024.

The provider is located at 2000 E GREENVILLE ST STE 3700 ANDERSON, SC 29621 and the phone number is (864) 512-1916.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.