Individual provider Active NPI

Wendy Gainous Pearce, FNP-C

  • Family Nurse Practitioner
  • Cairo, GA
National Provider Identifier
1073968574
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN174275 Issued in GA
Practice address
1178 5TH St SE
Cairo, GA 39828-3141
Phone
(229) 377-2002
Fax
(229) 377-0930
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN174275 GA Primary

Addresses

Primary practice location

1178 5TH St SE
Cairo, GA 39828-3141

Mailing address

1178 5TH St SE
Cairo, GA 39828-3141
Phone (229) 377-2002

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001585 GA Practitioner - Nurse Practitioner 3577855691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Life Center LLCGroup PAC ID 1557606779, 4 clinicians

Practice addresses (Care Compare)

1842 US Hwy 84 W
Cairo, GA 39827-4224
Phone (229) 397-5453

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Cairo Medical Care, LLC CurrentSince Jun 30, 2018 Accepting new patients
Turning Point Care Center LLC CurrentSince Jun 7, 2016 Accepting new patients
Turning Point Care Center LLC CurrentSince Jun 7, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1178 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

1180 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

3015 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 873-6479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAGBD/Endpoint/FIAGBD

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1073968574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002",
            "fax_number": "229-377-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002",
            "fax_number": "229-377-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "WENDY",
        "middle_name": "GAINOUS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN174275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.