Easley Pediatrics PA

Easley Pediatrics PA is a healthcare organization registered as Pediatrics Physician in Easley, SC, holding Type 2 (organization) NPI 1710931290 since 2006. The authorized official on file is Gary Goudelock, President.

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NPI	1710931290
Entity type	Organization (Type 2)
Legal business name	Easley Pediatrics PA
Practice address	800 NORTH A ST, Easley, SC, 29640
Phone	8648550001
Fax	8648555030
Enumeration date	2006-05-20
Last updated in NPPES	2020-08-22

Authorized official

Name	Gary Goudelock
Title	President
Phone	8648550001

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
PA8900	Medicaid	SC	—

Copy-ready billing details

Provider: Easley Pediatrics PA
NPI: 1710931290
Taxonomy: 208000000X (Pediatrics Physician)
Address: 800 NORTH A ST, Easley, SC, 29640

Providers at this address

NPI	Name	Type	Specialty	Location
1528059102	Carla Richards	Individual	Pediatrics Physician	Easley, SC
1275524514	Hiliary Humphries	Individual	Pediatrics Physician	Easley, SC

Verify this record

Cross-check NPI 1710931290 against the authoritative CMS record: view Easley Pediatrics PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Easley Pediatrics PA located?

The practice location on file with NPPES is in Easley, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.