Kelsey Diana Pearson

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2119 Issued in AL

Practice address

2100 16TH Ave S
Birmingham, AL 35205-5021

Phone

(205) 933-0987

NPI assigned

Feb 7, 2023

Last updated

Jun 29, 2026By 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 AL

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

Physician Assistant

Education

University of Alabama School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Skin and Beauty Dermatology Center, PCGroup PAC ID 9335043033, 13 clinicians

Alabama Dermatology and Skin Specialists LLCGroup PAC ID 3375936396, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Alabama Dermatology and Skin Specialists, LLC

  • Dermatology Physician
  • Huntsville, AL
  • NPI 1700543618
  Medicare reassignment Care Compare group NPD
• Total Skin & Beauty Dermatology Center, PC

  dba Total Dermatology

  • Physician Assistant
  • Birmingham, AL
  • NPI 1831296888
  Medicare reassignment Care Compare group
• Skin Diagnostics Group, PC

  • Clinical Medical Laboratory
  • Homewood, AL
  • NPI 1689922668
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1619673951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 OVERTON RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "205-933-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KELSEY",
        "middle_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Pearson, MD
• Cynthia Moss Pearson, LCSW
• Julene Ranicea Pearson, M.D.
• Keith Pearson II, MS, RD
• Kelly Pearson
• Lance Eric Pearson, PT, CO
• Linda Pearson, OTR-L
• Patrick Reid Peavy, M.D.
• Shania Peavy, RBT
• Aeryn Easterling Peck, NP

• Surgical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.