Individual provider Active NPI

John Pearson, MD

  • Urology Physician
  • South Hill, VA
National Provider Identifier
1497731343
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101270400 Issued in VA
Practice address
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone
(434) 584-2273
Fax
(434) 584-5579
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME86658 FL
Urology Physician 208800000X 0101270400 VA Primary

Addresses

Primary practice location

1755 N Mecklenburg Ave
South Hill, VA 23970-4080

Mailing address

PO Box 623
South Hill, VA 23970-0623
Phone (434) 584-2273

Other practice location 1

917 Rinehart Rd Ste 2031
Lake Mary, FL 32746-4806
Phone (386) 774-2121

Other practice location 2

2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129
Phone (386) 774-2121

Other practice location 3

685 Peachwood Dr
Deland, FL 32720-0804
Phone (386) 736-3463

Other identifiers 1

IdentifierTypeStateIssuer
OJC64OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201005001130 VA Practitioner - Urology 0446391023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northwestern University Feinberg Medical School, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Hospital & facility affiliations

  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86658FLMDUrology Physician
0101270400VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Urology CurrentSince Oct 4, 2020 Accepting new patients
West Georgia Urology Associates PC Urology CurrentSince Mar 15, 2013 Accepting new patients
MCV Associated Physicians CurrentSince Nov 14, 2024 Accepting new patients
CMH Physician Services, LLC CurrentSince Sep 20, 2020 Accepting new patients

Locations

150 Clinic Ave
Ste 202
Carrollton, GA 30117
Phone (770) 834-6968

705 Dallas Hwy
Ste 204
Villa Rica, GA 30180
Phone (770) 333-2220

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1497731343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700623",
            "telephone_number": "434-584-2273",
            "fax_number": "434-584-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239704080",
            "telephone_number": "434-584-2273",
            "fax_number": "434-584-5579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Rinehart Rd Ste 2031",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464806",
            "country_code": "US",
            "telephone_number": "386-774-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2583 S Volusia Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327639129",
            "country_code": "US",
            "telephone_number": "386-774-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "685 Peachwood Dr",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327200804",
            "country_code": "US",
            "telephone_number": "386-736-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME86658",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101270400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "OJC64",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.