Individual provider Active NPI

Philip E Pearson, DO

  • Family Medicine Physician
  • Mississippi State, MS
National Provider Identifier
1366426355
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15198 Issued in MS
Practice address
2 Hardy Road
Mississippi State, MS 39762
Phone
(662) 325-2431
Fax
(662) 325-8888
NPI assigned
Dec 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 15198 MS Primary

Addresses

Primary practice location

2 Hardy Road
Mississippi State, MS 39762

Mailing address

PO Box 6338
Mississippi State, MS 39762
Phone (662) 325-2431

Other identifiers 1

IdentifierTypeStateIssuer
00117637MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040226000315 MS Practitioner - Family Practice 9133015050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi State UniversityGroup PAC ID 1254404320, 6 clinicians

Practice addresses (Care Compare)

360 Hardy Rd
Longest Student Health Center
Mississippi State, MS 39762-6338
Phone (662) 325-2431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15198MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State University Past Accepting new patients

Organizations & group practices 2

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 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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366426355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6338",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "39762",
            "telephone_number": "662-325-2431",
            "fax_number": "662-325-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARDY ROAD",
            "city": "MISSISSIPPI STATE",
            "state": "MS",
            "postal_code": "39762",
            "telephone_number": "662-325-2431",
            "fax_number": "662-325-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PHILIP",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117637",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mississippi State, MS

Sources for this page

Verify at the official NPI Registry.