Active NPI
Cynthia Pearson, FNP
- Nurse Practitioner
- Corinth, MS
National Provider Identifier
1689681942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R851921
- Practice address
- 123 Alcorn Dr
Corinth, MS 38834-9359 - Phone
- (662) 286-2866
- Fax
- (662) 286-2864
- NPI assigned
- Aug 1, 2006
- Last updated
- Jun 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R851921 | MS | Primary |
Addresses
Primary practice location
123 Alcorn Dr
Corinth, MS 38834-9359
Mailing address
P.O. Box 298
Florence, AL 35631-0298
Phone (256) 767-7494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06430512 | Medicaid | MS | |
| 2656050 | Medicaid | MS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R851921 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corinth Medical Specialists | Current | Accepting new patients |
Locations
3301 Tinin Dr
Corinth, MS 38834
Phone (662) 665-9111
Interoperability endpoints
- cynthiapearson@cmsllc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1467467811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1689681942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 298",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356310298",
"telephone_number": "256-767-7494",
"fax_number": "256-765-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349359",
"telephone_number": "662-286-2866",
"fax_number": "662-286-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "CYNTHIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R851921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06430512",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2656050",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.