Grace Pearson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

905021 Issued in MS

Practice address

12303 Highway 49
Gulfport, MS 39503-2780

Phone

(228) 206-6882

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A R Mizell LLCGroup PAC ID 2961652953, 3 clinicians

Southern Family Urgent Care LLCGroup PAC ID 8224469952, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• A R Mizell LLC

  dba Southern Family Urgent Care

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1144582040
  Medicare reassignment Care Compare group NPD
• Southern Family Urgent Care LLC

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1396379186

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Ochsner Mississippi, LLC

  dba Ochsner Urgent Care & Occupational Health - Diamondhead

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1538825252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13637 LAWTON LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036503",
            "telephone_number": "228-669-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032780",
            "telephone_number": "228-206-6882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 E Pass Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395073403",
            "country_code": "US",
            "telephone_number": "228-896-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyona Payton
• Victor Payton
• PDN, Inc.
• Peace Place Psychotherapy, LLC
• Faith Anne Pearson Crosby, CNP
• Jeffery A Pearson, PHD,LPC,NCC
• Page Leigh Pearson, LCSW, CTMH
• Susan Brandenburg Pearson, PT
• William Shelton Pearson, M.D.
• Susannah Brooke Peleaz, P-LPC

• Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.