William Kevin Pearson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000623 Issued in GA

Practice address

1975 Highway 54 W
Suite 205
Peachtree City, GA 30269-4794

Phone

(678) 561-9000

Fax

(770) 487-1232

NPI assigned

Jun 9, 2005

Last updated

Dec 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1992003479
  Medicare reassignment NPD
• Afcoa Kingwood, PC

  • Durable Medical Equipment & Medical Supplies
  • Kingwood, TX
  • NPI 1437403854
  NPD (past) Authorized official
• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Smyrna, GA
  • NPI 1134462591
  NPD
• Ankle and Foot Center of Georgia,LLC

  • Podiatrist
  • Lagrange, GA
  • NPI 1750436127
  NPD (past)
• Ankle and Foot Centers of Georgia, LLC

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
  • NPI 1225686991
  NPD (past)
• Gainesville Foot and Ankle Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1376614826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1013911817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-561-9000",
            "fax_number": "770-487-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-561-9000",
            "fax_number": "770-487-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WILLIAM",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I487652",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00455661F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peachtree Psychotherapy
• Peachtree Senior Care LLC
• Peachtree Total Wellness LLC
• Peachtree Wellness Solutions LLC
• Rebekah Kay Pearson, PT, DPT
• Kaila Peat
• Pediatrics Village, P.C.
• Rhonda Pennypacker
• Vincent J. Perciaccante, DDS
• Kelly Rose Peronti, AGACNP-BC

• Foot & Ankle Surgery Podiatrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.