Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason P Eastlack, MD

Individual provider Diagnostic Radiology Physician · NPI 1003137084

Dr. Jason P Eastlack, MD is a Diagnostic Radiology in Columbia, South Carolina. Graduated from Louisiana State University School of Medicine in New Orleans in 2010, 16 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in Mississippi, South Carolina and Texas.

Years since qualifying
16
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MS, SC, TX
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1519 Marion St
Columbia, SC 29201-2910
Phone: (803) 296-5954
Fax: (803) 296-3076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 52431 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 24394 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence P2434 (TX)

Record details

NPI number1003137084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESNovember 11, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2010 (16 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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