Active NPI
Sven Pearson, MS, ATC, LAT, CAMCP
- Athletic Trainer
- Hattiesburg, MS
National Provider Identifier
1386190056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 118 College Dr # 5017
Hattiesburg, MS 39406-0002 - Phone
- (601) 447-4088
- Fax
- (601) 266-6821
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | TN | ||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
118 College Dr # 5017
Hattiesburg, MS 39406-0002
Mailing address
118 College Dr # 5017
Hattiesburg, MS 39406-0002
Phone (601) 447-4088
Other practice location 1
1450 W Alabama Ave
Ruston, LA 71270
Phone (318) 257-2956
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Southern Mississippi | Past | Accepting new patients | |
| The University of Southern Mississippi | 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 and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Hattiesburg, MS
- NPI 1821490723
-
- Clinic Pharmacy
- Hattiesburg, MS
- NPI 1750402798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1386190056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 COLLEGE DR # 5017",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394060002",
"telephone_number": "601-447-4088",
"fax_number": "601-266-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 COLLEGE DR # 5017",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394060002",
"telephone_number": "601-447-4088",
"fax_number": "601-266-6821"
}
],
"practiceLocations": [
{
"address_1": "1450 W Alabama Ave",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "71270",
"country_code": "US",
"telephone_number": "318-257-2956",
"fax_number": "318-257-2712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSON",
"first_name": "SVEN",
"name_prefix": "Mr.",
"credential": "MS, ATC, LAT, CAMCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.