Individual provider Active NPI

Carson William Pearce, CRNP

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1194131136
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-089265 Issued in AL
Practice address
21 Bill Robison Pkwy
Anniston, AL 36206-2624
Phone
(256) 240-0824
Fax
(256) 240-0825
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-089265 AL Primary

Addresses

Primary practice location

21 Bill Robison Pkwy
Anniston, AL 36206-2624

Mailing address

3225 Berkley Hills Dr W
Southside, AL 35907-8037
Phone (256) 393-3648

Other practice location 1

1010 Christine Ave
Anniston, AL 36207-5782
Phone (256) 236-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150226001340 AL Practitioner - Nurse Practitioner 8820314487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Bill Robison Pkwy
Anniston, AL 36206-2624
Phone (256) 240-0824

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-089265ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lenlock Clinic LLC CurrentSince Sep 19, 2021 Accepting new patients
Lenlock RX, LLC Dba Cleburne Pharmacy PastSince Jun 1, 2023 Accepting new patients

Locations

21 Bill Robison Pkwy
Anniston, AL 36206
Phone (256) 240-0824

Interoperability endpoints

  • Direct secure messaging: carsonpearce@annmc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1194131136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 BERKLEY HILLS DR W",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359078037",
            "telephone_number": "256-393-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BILL ROBISON PKWY",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362062624",
            "telephone_number": "256-240-0824",
            "fax_number": "256-240-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Christine Ave",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362075782",
            "country_code": "US",
            "telephone_number": "256-236-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "CARSON",
        "middle_name": "WILLIAM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-089265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.