Allen Brantley Pearson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rolling Fork, MS
NPI 1144026063 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1144026063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 907249 (MS)
- Practice address
- 25 S Fourth St
Rolling Fork, MS 39159-5146 - Phone
- (662) 873-5222
- NPI assigned
- Feb 21, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sharkey Issaquena Community Hospital
Practice addresses (Care Compare)
25 S 4TH St
Sharkey Issaquena Complete Care
Rolling Fork, MS 39159-5146
Phone (662) 873-5222
Hospital & facility affiliations
- Sharkey Issaquena Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250304003674 | MS | Practitioner - Nurse Practitioner | 7618498833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharkey Issaquena Community Hospital | Current |
Accepting new patients | |
| Sharkey Issaquena Community Hospital | Current |
Accepting new patients |
Locations
47 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-4395
25 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-0477
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHCJCD/Endpoint/GHCJCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907249 | MS | Yes |
Addresses
Primary practice location
25 S Fourth St
Rolling Fork, MS 39159-5146
Mailing address
PO Box 339
Rolling Fork, MS 39159-0339
Other providers in Rolling Fork, MS
- North Mississippi Foot Specialists PC
- On Call Medical Equipment Inc.
- Benjamin Ozbun
- Pain Treatment Centers of America PLLC
- Pain Treatment Centers of America, PLLC
- Casey Cummins Perry
- RCG of Mayersville, LLC
- Rolling Fork Drug Co
- Rolling Fork Drug Co
- Rolling Fork Eye Clinic
All providers in Rolling Fork, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.