Individual provider Active NPI

Clarence E Pearson, MD

  • Cardiovascular Disease Physician
  • Martinsville, VA
National Provider Identifier
1083618987
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101033368 Issued in VA
Practice address
1107B Brookdale St
Martinsville, VA 24112-4501
Phone
(276) 634-4400
Fax
(276) 638-2900
NPI assigned
Jun 8, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101033368 VA Primary
Cardiovascular Disease Physician 207RC0000X 2003-0352 NM

Addresses

Primary practice location

1107B Brookdale St
Martinsville, VA 24112-4501

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5372

Other identifiers 1

IdentifierTypeStateIssuer
21931828MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609002088 VA Practitioner - Cardiovascular Disease (Cardiology) 7719970789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1107 A Brookdale St
Martinsville, VA 24112-4501
Phone (276) 670-3300

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince Apr 25, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 25, 2021 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 25, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Apr 25, 2021 Accepting new patients
Carilion Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Siavash Karimian MD of New Mexico PC Dba Roswell Medico Past Accepting new patients
New Mexico Heart Institute, LLC Cardiovascular Disease Past Accepting new patients

Locations

1107 Brookdale St
Martinsville, VA 24112
Phone (276) 634-0005

1107A Brookdale St
Martinsville, VA 24112
Phone (276) 634-0379

1107B Brookdale St
Martinsville, VA 24112
Phone (276) 634-4400

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Interoperability endpoints

  • Direct secure messaging: cpearson132955@direct.carilionclinic.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083618987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107B BROOKDALE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124501",
            "telephone_number": "276-634-4400",
            "fax_number": "276-638-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CLARENCE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101033368",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "2003-0352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21931828",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.