Carol Pearson, CNNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN051308 Issued in GA

Practice address

710 Center St
Columbus, GA 31901-1527

Phone

(706) 571-1692

Fax

(706) 660-6504

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1144479056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011527",
            "telephone_number": "706-571-1692",
            "fax_number": "706-660-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011527",
            "telephone_number": "706-571-1692",
            "fax_number": "706-660-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CAROL",
        "credential": "CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN051308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful River Residential Services
• Peach Gardens Private Home Care
• Kimberly H Peacock
• Leslie Peacock, PHARMD
• Bret Kyle Pearce, D.O.
• Reginald Dwayne Pearson
• Ram R Peddada, M.D., D.SC.
• Pediatria Healthcare, LLC
• Pediatria Healthcare, LLC (Aveanna Healthcare)
• Pediatric Acute Care of Columbus, P.C.

• Neonatal Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.