Active NPI
John Pearson, MD
- Urology Physician
- South Hill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101270400
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OJC64 | Other | FL | BCBSFL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151
Hospital & facility affiliations
- Community Memorial Hospital
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86658 | FL | MD | Urology Physician |
| 0101270400 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Urology | Current | Accepting new patients |
| West Georgia Urology Associates PC | Urology | Current | Accepting new patients |
| MCV Associated Physicians | Current | Accepting new patients | |
| CMH Physician Services, LLC | Current | 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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
-
- Urology Physician
- Carrollton, GA
- NPI 1982701124
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.