William Shelton Pearson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21311 Issued in MS

Practice address

5502 Marvin Shields Blvd
Gulfport, MS 39501

Phone

(282) 822-5710

NPI assigned

Dec 14, 2007

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

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1578746384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "228-822-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "282-822-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WILLIAM",
        "middle_name": "SHELTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "201004",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "21311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03826562",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Anne Pearson Crosby, CNP
• Grace Pearson, FNP-C
• Jeffery A Pearson, PHD,LPC,NCC
• Page Leigh Pearson, LCSW, CTMH
• Susan Brandenburg Pearson, PT
• Susannah Brooke Peleaz, P-LPC
• David Shane Pendley, M.D.
• Jesse Pullen Penico, MD
• Chancelyn S Penn, CNP
• Lauren Penny, SLP

• Psychiatry Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.