Individual provider Active NPI

Pearl Mae Ross, FNP

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1366107872
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020430 Issued in NC
Practice address
2503 Forest Hills Rd W Ste B
Wilson, NC 27893-3392
Phone
(252) 991-0555
Fax
(252) 991-0596
NPI assigned
Nov 1, 2021
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216410 GA
Family Nurse Practitioner 363LF0000X 5020430 NC Primary

Addresses

Primary practice location

2503 Forest Hills Rd W Ste B
Wilson, NC 27893-3392

Mailing address

4797 Shaye Xing
Douglasville, GA 30134-3990
Phone (941) 539-7906

Other practice location 1

146 US 64 E
Hayesville, NC 28904
Phone (828) 389-3609

Other practice location 2

4797 Shaye Xing
Douglasville, GA 30134-3990
Phone (941) 539-7906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220506001925 MS Practitioner - Nurse Practitioner 4082091335 Reassigns benefits to 1 organization
I20230427001033 GA Practitioner - Nurse Practitioner 4082091335
I20240905001937 NC Practitioner - Nurse Practitioner 4082091335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy Medical Center IncGroup PAC ID 7416856547, 70 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

145 Medical Park LN
Murphy, NC 28906-6663
Phone (828) 837-7708

145 Medical Park LN I
Murphy, NC 28906-6663
Phone (828) 837-3897

146 Hwy 64 E
Hayesville, NC 28904-7300
Phone (828) 389-3608

210 Smith Church Rd
BLDG 1
Roanoke Rapids, NC 27870-4942
Phone (252) 535-8463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216410GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC Family CurrentSince Mar 1, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 3, 2026 Accepting new patients
Fastmed P.C. CurrentSince Jul 29, 2024 Accepting new patients
Murphy Medical Center Inc Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Sep 4, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Sep 4, 2025 Accepting new patients
Murphy Medical Center, Inc. Past Accepting new patients
Cityblock Medical Practice, P.a. Past Accepting new patients
Fastmed Primary Care, P.C. PastSince Dec 10, 2023 Accepting new patients

Locations

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

4613 University Dr
Durham, NC 27707

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

146 Hwy 64 E
Hayesville, NC 28904
Phone (828) 389-3608

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

210 Smith Church Rd
Bldg 1
Roanoke Rapids, NC 27870
Phone (252) 535-8463

2503 Forest Hills Rd W
Ste B
Wilson, NC 27893
Phone (252) 991-0555

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1366107872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4797 SHAYE XING",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343990",
            "telephone_number": "941-539-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 FOREST HILLS RD W STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933392",
            "telephone_number": "252-991-0555",
            "fax_number": "252-991-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 US 64 E",
            "address_purpose": "LOCATION",
            "city": "Hayesville",
            "state": "NC",
            "postal_code": "28904",
            "country_code": "US",
            "telephone_number": "828-389-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4797 Shaye Xing",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301343990",
            "country_code": "US",
            "telephone_number": "941-539-7906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PEARL",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "216410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.