Active NPI
Nicole Haynes Pearson, WHNP
- Women's Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1538224514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN122509
- Practice address
- 980 Johnson Ferry Rd NE
Suite 660
Atlanta, GA 30342-1626 - Phone
- (404) 847-1592
- Fax
- (404) 303-2015
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN122509 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN122509 | GA | Primary |
Addresses
Primary practice location
980 Johnson Ferry Rd NE
Suite 660
Atlanta, GA 30342-1626
Mailing address
980 Johnson Ferry Rd NE
Suite 660
Atlanta, GA 30342-1626
Phone (404) 847-1592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000881449F | Medicaid | GA | |
| 000881449G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN122509 | GA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Perinatal Consultants, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Atlanta, GA
- NPI 1235147539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1538224514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 JOHNSON FERRY RD NE",
"address_2": "SUITE 660",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-847-1592",
"fax_number": "404-303-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 JOHNSON FERRY RD NE",
"address_2": "SUITE 660",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-847-1592",
"fax_number": "404-303-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "NICOLE",
"middle_name": "HAYNES",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "GA",
"license": "RN122509",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN122509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000881449F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000881449G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.