Individual provider Active NPI

Pearl Govea, M.D.

  • Family Medicine Physician
  • Hoover, AL
National Provider Identifier
1336123587
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.32028 Issued in AL
Practice address
2 Chase Corporate Dr
Suite 300
Hoover, AL 35244-1016
Phone
(773) 292-4800
Fax
(312) 564-4059
NPI assigned
Dec 1, 2005
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101235022 VA
Family Medicine Physician 207Q00000X MD.32028 AL Primary
Family Medicine Physician 207Q00000X N6225 TX
Family Medicine Physician 207Q00000X ME110535 FL

Addresses

Primary practice location

2 Chase Corporate Dr
Suite 300
Hoover, AL 35244-1016

Mailing address

1340 S Damen Ave
Suite 400
Chicago, IL 60608-1169
Phone (773) 292-4800

Other identifiers 1

IdentifierTypeStateIssuer
143949MedicaidAL

Other names 1

  • Pearl Christie Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.32028ALMDFamily Medicine Physician
N6225TXMDFamily Medicine Physician
0101235022VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Family Medicine, LLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Cardiovascular Institute of the Shoals PC Family Medicine PastSince Jan 9, 2019 Accepting new patients
Lauderdale Radiology Group LLP Past Accepting new patients

Locations

1130 Bradshaw Dr
Florence, AL 35630
Phone (256) 275-3838

Interoperability endpoints

  • Direct secure messaging: pearl.govea.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 3

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1336123587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHASE CORPORATE DR",
            "address_2": "SUITE 300",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441016",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVEA",
        "first_name": "PEARL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235022",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.32028",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME110535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143949",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEARL",
            "last_name": "CHRISTIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.