Petrino Pernette Pierce, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN233369 Issued in GA

Practice address

211 Payton PL
Woodstock, GA 30188-3185

Phone

(662) 854-1136

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Hydr8Me IV Lounge

  • Registered Nurse
  • Woodstock, GA
  • NPI 1184584104
  NPD Authorized official
• PP&P Health Services

  • Home Health Registered Nurse
  • Woodstock, GA
  • NPI 1104626787
  Authorized official Same address or phone

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1508665761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PAYTON PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883185",
            "telephone_number": "662-854-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PAYTON PL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883185",
            "telephone_number": "662-854-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2874 Hickory Flat Hwy",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "30188",
            "country_code": "US",
            "telephone_number": "678-832-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "PETRINO",
        "middle_name": "PERNETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R886079",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN233369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Pain Care,P.C.
• Physician's Express Care at Towne Lake LLC
• Physiotherapy Associates Inc (Physio-Woodstock)
• Anna Leigh Pickett, OTL
• Alec Pienta, MS, RD
• Christen Pike
• Kimberly Ann Pike, LPC
• Ashley Pinette, MD
• Pinnacle Anesthesia of Woodstock, PC
• Pinnacle Orthopaedics & Sports Medicine Specialists LLC

• Registered Nurse in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.