Pearson Surgical Pro LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PEARSON SURGICAL PRO LLC

Practice address

316 Maddi Grace CT
Locust Grove, GA 30248-9801

Phone

(678) 464-6326

Fax

(678) 823-6937

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Lee Pearson Jr., CSFANPI 1508601675

Title

Certified Surgical First Assistant

Phone

(678) 464-6326

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Lee Pearson Jr., CSFA

  • Physician Assistant
  • Locust Grove, GA
  • NPI 1508601675
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1033051545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MADDI GRACE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302489801",
            "telephone_number": "678-464-6326",
            "fax_number": "678-823-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MADDI GRACE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302489801",
            "telephone_number": "678-464-6326",
            "fax_number": "678-823-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON SURGICAL PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "678-464-6326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujal Rakesh Patel, MS, LAT, ATC
• Pathways Counseling Clinic
• Christopher Andrew Patrick, LMHC
• Quentin Tyron Patrick Sr., LMSW
• Germaine Patterson
• Patrick Lee Pearson Jr., CSFA
• Taquanta Mashae Pearson
• Personal Growth Healthcare, LLC
• Marjoriei Petit, CCMA, HEALTHCARE MAN
• Physician'S Anesthesia Services, L.L.C.

• Surgical Physician Assistant in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.