Patrick Lee Pearson Jr., CSFA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

316 Maddi Grace CT
Locust Grove, GA 30248-9801

Phone

(678) 464-6326

Fax

(678) 823-6937

NPI assigned

Jun 28, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pearson Surgical Pro LLC

  • Surgical Physician Assistant
  • Locust Grove, GA
  • NPI 1033051545
  NPD Authorized official
• Icon Surgical

  • Surgical Physician Assistant
  • Mableton, GA
  • NPI 1255003455
  NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1508601675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MADDI GRACE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302489801",
            "telephone_number": "678-464-6326",
            "fax_number": "678-823-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MADDI GRACE CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302489801",
            "telephone_number": "678-464-6326",
            "fax_number": "678-823-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Counseling Clinic
• Christopher Andrew Patrick, LMHC
• Quentin Tyron Patrick Sr., LMSW
• Germaine Patterson
• Pearson Surgical Pro LLC
• Taquanta Mashae Pearson
• Personal Growth Healthcare, LLC
• Marjoriei Petit, CCMA, HEALTHCARE MAN
• Physician'S Anesthesia Services, L.L.C.
• Physiotherapy Associates Inc

• Physician Assistant in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.