Active NPI
Pearl Gizelle Myers, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hattiesburg, MS
National Provider Identifier
1386950384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 21283
- Practice address
- 155 Cross Creek Pkwy
Apt 315
Hattiesburg, MS 39402-4434 - Phone
- (601) 520-4268
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 296142-1 | NY | |
| Anatomic Pathology Physician | 207ZP0101X | 30590 | SC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 296142-1 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 21283 | MS | Primary |
Addresses
Primary practice location
155 Cross Creek Pkwy
Apt 315
Hattiesburg, MS 39402-4434
Mailing address
24 Mayer Dr
Middletown, NY 10940-3348
Phone (601) 520-4268
Other practice location 1
24 Mayer Dr
Middletown, NY 10940-3348
Phone (601) 520-4268
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21283 | MS | MD | Anatomic Pathology & Clinical Pathology Physician |
| 296142-1 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
| 30590 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540080000000",
"number": "1386950384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MAYER DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109403348",
"telephone_number": "601-520-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CROSS CREEK PKWY",
"address_2": "APT 315",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394024434",
"telephone_number": "601-520-4268"
}
],
"practiceLocations": [
{
"address_1": "24 Mayer Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109403348",
"country_code": "US",
"telephone_number": "601-520-4268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "PEARL",
"middle_name": "GIZELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2018-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "296142-1",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "SC",
"license": "30590",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "296142-1",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "21283",
"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 Oct 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.