OrganizationActive
Easley Pediatrics PA
NPI 1710931290 · Pediatrics Physician · Easley, SC
Easley Pediatrics PA is a Pediatrics Physician organization in Easley, SC (NPI 1710931290).
Provider details
- NPI number
- 1710931290
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Goudelock, President(864) 855-0001
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 North a St
Easley, SC 29640
Phone: (864) 855-0001
Fax: (864) 855-5030
Street-level locationGet directions
Mailing address
800 North a St
Easley, SC 29640
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Easley Pediatrics PA's NPI number?
- Easley Pediatrics PA's National Provider Identifier (NPI) is 1710931290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Easley Pediatrics PA?
- Easley Pediatrics PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Easley Pediatrics PA located?
- Easley Pediatrics PA's practice location on file with NPPES is 800 North a St, Easley, SC 29640.
- What is Easley Pediatrics PA's phone number?
- The practice phone number listed in the NPPES registry for Easley Pediatrics PA is (864) 855-0001.
- Who is the authorized official for Easley Pediatrics PA?
- The authorized official listed on Easley Pediatrics PA's NPPES record is Gary Goudelock, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Easley Pediatrics PA's NPI active?
- Yes — Easley Pediatrics PA's NPI (1710931290) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.