Wendy C Pearson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN244149 Issued in GA

Practice address

1523 Old Valdosta Rd
Ray City, GA 31645-7132

Phone

(877) 543-7221

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wendy.pearson@3266.securemail.prognocis.com
• Direct secure messaging: wendy.pearson@3163.securemail.prognocis.com

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.

• Medical Wellness Center of Georgia, LLC

  • Family Medicine Physician
  • Ray City, GA
  • NPI 1972003879

  FL

  Medicare reassignment NPD
• Ese Mental Health LLC

  • Clinical Psychologist
  • Ray City, GA
  • NPI 1659094704
  NPD (past) Authorized official

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1487808754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "877-543-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 OLD VALDOSTA RD",
            "city": "RAY CITY",
            "state": "GA",
            "postal_code": "316457132",
            "telephone_number": "877-543-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WENDY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234742011B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "RN244149",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacee Nicole Jessup
• Lindsey L Jordan, MS RD LD
• Sarah Breeden Lynn, LMSW
• Deborah A McEady
• Medical Wellness Center of Georgia, LLC
• Erin Harrell Ray, LCSW
• Lynn Roberts
• Miranda Moneke Robinson
• Sarah P Smith, LCSW
• Southern Nutrition and Wellness

• Family Nurse Practitioner in Ray City, GA
• Providers in Ray City, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.