Myrtle M Pearson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN071972 Issued in GA

Practice address

1605 Peachtree St NE
Atlanta, GA 30309-2433

Phone

(404) 870-7746

Fax

(404) 870-7719

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Myrtle M Wilder Former name

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

Specialty

Nurse Practitioner

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Joseph'S Mercy Care Services IncGroup PAC ID 9931191525, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpearson645156@direct.ochin.org

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.

• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment Care Compare group NPD
• AIDS Healthcare Foundation

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1730705047
  Medicare reassignment NPD
• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD
• Aid Atlanta Inc

  • Infectious Disease Physician
  • Newnan, GA
  • NPI 1144646340
  Medicare reassignment
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1285277608
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1689921306
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1821239708
  NPD
• Southside Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, GA
  • NPI 1821981234
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1083786289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092433",
            "telephone_number": "404-870-7746",
            "fax_number": "404-870-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MYRTLE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN071972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRTLE",
            "last_name": "WILDER",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Pearman, PH.D.
• Alisha Pearson
• John L Pearson, MD
• Lavelle Pearson, RN
• Mecall Pearson, LPC
• Nicole Haynes Pearson, WHNP
• Stuart Murray Pearson, LPC
• Thomas C Pearson, MD
• Tiffany Davis Pearson, NP-C
• Joshua Walker Pease, LPC

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.