Jamila K Pearson
Individual provider Active NPI Contractor · Spartanburg, SC
NPI 1174401368 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1174401368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 65288 (SC)
- Practice address
- 900 Keats Dr Apt 936
Spartanburg, SC 29301-5094 - Phone
- (864) 621-5456
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65288 | SC | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 65288 | SC | Yes |
Addresses
Primary practice location
900 Keats Dr Apt 936
Spartanburg, SC 29301-5094
Mailing address
900 Keats Dr Apt 936
Spartanburg, SC 29301-5094
Phone (864) 621-5456
Other providers in Spartanburg, SC
- Peach Valley Pharmacy, LLC
- Peacock Pharmacy LLC
- Peacock Pharmacy LLC
- Delisah A Peake
- Peaock Medical Equipment & Home Health Care LLC
- Elijah Edward Pecheny
- Marianne Pedersen
- Pediatric Evening Clinic
- Pediatrics Unlimited Inc
- Peek Professional Hearing Center, LLC
All providers in Spartanburg, SC · Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.