Individual provider Active NPI

Alix Goodwin Pearson, FNP

  • Nurse Practitioner
  • Tremont, MS
National Provider Identifier
1477250652
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905775 Issued in MS
Practice address
320 School Loop Dr
Tremont, MS 38876-8575
Phone
(662) 652-3322
NPI assigned
Feb 8, 2023
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905775 MS Primary

Addresses

Primary practice location

320 School Loop Dr
Tremont, MS 38876-8575

Mailing address

320 School Loop Dr
Tremont, MS 38876-8575
Phone (662) 652-3322

Other practice location 1

404 Gilmore Dr
Amory, MS 38821-5414
Phone (662) 256-3564

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001233 MS Practitioner - Nurse Practitioner 5395284491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Walker St
Access Family Health Houlka Clinic
Houlka, MS 38850-0187
Phone (662) 568-3316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905775MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. CurrentSince Jul 22, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Access Family Health Services, Inc. Current Accepting new patients
Access Family Health Services, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Access Family Health Services, Inc. Past Accepting new patients

Locations

106 Walker St
Houlka, MS 38850
Phone (662) 568-3316

320 School Loop Dr
Tremont, MS 38876
Phone (662) 652-3322

Interoperability endpoints

  • Direct secure messaging: alix.pearson.1@14756.direct.athenahealth.com
  • Direct secure messaging: alixgoodwin@nmhs.medalliesdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1477250652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SCHOOL LOOP DR",
            "city": "TREMONT",
            "state": "MS",
            "postal_code": "388768575",
            "telephone_number": "662-652-3322",
            "fax_number": "662-652-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SCHOOL LOOP DR",
            "city": "TREMONT",
            "state": "MS",
            "postal_code": "388768575",
            "telephone_number": "662-652-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Gilmore Dr",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388215414",
            "country_code": "US",
            "telephone_number": "662-256-3564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ALIX",
        "middle_name": "GOODWIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremont, MS

Sources for this page

Verify at the official NPI Registry.