Individual provider Active NPI

Patrice N. Pearson, MD

  • Family Medicine Physician
  • Morrow, GA
National Provider Identifier
1356581052
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
061932 Issued in GA
Practice address
1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone
(770) 968-6464
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 061932 GA Primary

Addresses

Primary practice location

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180

Mailing address

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone (770) 968-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppearson123246@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090528000327 GA Practitioner - Family Practice 9830248541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1000 Corporate Ctr Dr
Suite 200
Morrow, GA 30260-4129
Phone (770) 968-6464

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2016 Accepting new patients
Douglas Hospital, Inc. Past Accepting new patients

Locations

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1000 Corporate Center Dr
Ste 200
Morrow, GA 30260
Phone (770) 968-6464

Interoperability endpoints

  • Direct secure messaging: patrice.pearson.p51@direct.tenet.nextgenshare.com
  • Direct secure messaging: patrice.pearson.p52@direct.tenet.nextgenshare.com
  • Direct secure messaging: patrice.pearson.p50@direct.tenet.nextgenshare.com
  • Direct secure messaging: ppearson123246@directwellstar.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1356581052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PATRICE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppearson123246@directwellstar.org",
            "affiliation": "N",
            "address_1": "1000 Corporate Center Dr",
            "address_2": "Suite 200",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302604180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.