Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487138251 Individual Practitioner Female Practitioner

Derrick Leigh Easom

Nurse Practitioner • Valdosta, GA

Professional Overview & Biography Verified Profile Summary

Derrick Easom is a registered healthcare professional specializing in Nurse Practitioner in Valdosta, GA. Practice services are available at 2810 N OAK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2810 N Oak St

Valdosta, GA 316021716

Telephone 2299386495
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Valdosta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
42 Specialists

Practicing in Valdosta, GA (3149 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN248094

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1679764757

Doctor of Medicine (M.D.)

Candace Roman

Nurse Practitioner

NPI 1942085220

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 05, 2025

Registered at 2810 N OAK ST, VALDOSTA, GA 316021716 (Tel: 2299386495)

📍
Updated Business Mailing Address February 05, 2025

Registered at 2810 N OAK ST, VALDOSTA, GA 316021716 (Tel: 2299386495)

📍
Updated Business Mailing Address October 17, 2018

Registered at 1825 OLD ALABAMA RD, STE 201, ROSWELL, GA 300762258 (Tel: 2299386495)

NPI Profile Active September 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2018

Registered at 1825 OLD ALABAMA RD, ROSWELL, GA 300762273 (Tel: 7703939000)

📍
Updated Business Mailing Address September 18, 2018

Registered at 1080 MCINTEER CIR, GREENSBORO, GA 306426048 (Tel: 2299386495)

👤
Provider Name / Credentials Updated September 18, 2018

Recorded as DERRICK EASOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2018

Nurse Practitioner (License #RN248094 in GA)

🟢
Initial NPI Registration & Enumeration September 18, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487138251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2018
Last Update: February 05, 2025
Sole Proprietor: No

Mailing Address

2810 N Oak St

Valdosta, GA 316021716

Phone: 2299386495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.