Individual provider Active NPI

Haley Cobb Pearl, MS, RD, LD

  • Registered Dietitian
  • Anniston, AL
National Provider Identifier
1275286791
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2796 Issued in AL
Practice address
1010 Christine Ave
Anniston, AL 36207-5782
Phone
(256) 236-5631
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2796 AL Primary

Addresses

Primary practice location

1010 Christine Ave
Anniston, AL 36207-5782

Mailing address

637 Cane Creek Rd
Anniston, AL 36206-7427

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fax

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324002407 AL Practitioner - Registered Dietitian Or Nutrition Professional 4880089028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anniston Medical Clinic, PCGroup PAC ID 0244125854, 13 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2796ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Medical Clinic PC CurrentSince Feb 8, 2022 Accepting new patients

Locations

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

Interoperability endpoints

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1275286791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 CANE CREEK RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362067427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075782",
            "telephone_number": "256-236-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "HALEY",
        "middle_name": "COBB",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "1010 Christine Ave",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362075782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.