Active NPI
Marcus A Pearson Jr.
- Private Vehicle
- Roanoke Rapids, NC
National Provider Identifier
1245947621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 32772190
- Practice address
- 114 Queen St
Roanoke Rapids, NC 27870-4820 - Phone
- (252) 673-5433
- NPI assigned
- Nov 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 32772190 | NC | Primary |
| Driver | 172A00000X | 32772190 | NC | |
| Non-emergency Medical Transport (VAN) | 343900000X | 32772190 | NC |
Addresses
Primary practice location
114 Queen St
Roanoke Rapids, NC 27870-4820
Mailing address
114 Queen St
Roanoke Rapids, NC 27870-4820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32772190 | NC | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1245947621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 QUEEN ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 QUEEN ST",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704820",
"telephone_number": "252-673-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MARCUS",
"middle_name": "A",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "32772190",
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "32772190",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NC",
"license": "32772190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.