Active NPI
Erich Smith Pearson, M.D.
- Internal Medicine Physician
- Ellijay, GA
National Provider Identifier
1629380753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 72078
- Practice address
- 822 Industrial Blvd
Ellijay, GA 30540-3804 - Phone
- (706) 276-4741
- Fax
- (706) 276-4645
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 72078 | GA | Primary |
Addresses
Primary practice location
822 Industrial Blvd
Ellijay, GA 30540-3804
Mailing address
822 Industrial Blvd
P.O. Box 1019
Ellijay, GA 30540-3804
Phone (706) 276-4741
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 993428330A | Other | GA | MEDICAID RURAL HEALTH CARE PROVIDER NUMBER |
| 1407062862 | Other | GA | APPLE MEDICAL CENTER GROUP NPI NUMBER |
| HOSP34 | Other | GA | MEDICARE PART B NUMBER |
| 58-1896463 | Other | GA | NORTH GEORGIA MEDICAL CENTER FEDERAL TAX ID |
| 1952395097 | Other | GA | MEDICARE PART B NPI NUMBER |
| 118518 | Other | GA | APPLE MEDICAL CENTER RURAL HEALTH MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.36 of 100
- Quality
- 46.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72078 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Internal Medicine | Current | Accepting new patients |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
Interoperability endpoints
- espearso@yourcarecommunity.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1629380753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 INDUSTRIAL BLVD",
"address_2": "P.O. BOX 1019",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403804",
"telephone_number": "706-276-4741",
"fax_number": "706-276-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 INDUSTRIAL BLVD",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403804",
"telephone_number": "706-276-4741",
"fax_number": "706-276-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ERICH",
"middle_name": "SMITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "72078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID RURAL HEALTH CARE PROVIDER NUMBER",
"identifier": "993428330A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLE MEDICAL CENTER GROUP NPI NUMBER",
"identifier": "1407062862",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B NUMBER",
"identifier": "HOSP34",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH GEORGIA MEDICAL CENTER FEDERAL TAX ID",
"identifier": "58-1896463",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B NPI NUMBER",
"identifier": "1952395097",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLE MEDICAL CENTER RURAL HEALTH MEDICARE PROVIDER NUMBER",
"identifier": "118518",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellijay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.