Individual provider Active NPI

Marilyn R Pearson, M.D.

  • Family Medicine Physician
  • Smithfield, NC
National Provider Identifier
1720141377
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9601434 Issued in NC
Practice address
517 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 989-5200
Fax
(833) 438-6949
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9601434 NC Primary

Addresses

Primary practice location

517 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

517 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-5200

Other identifiers 2

IdentifierTypeStateIssuer
8911859MedicaidNC
9601431OtherNCLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marilyn.pearson.1@32647.direct.athenahealth.com Health Information Exchange (HIE)

Organizations & group practices 3

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.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Johnston County 19 clinicians

Practice addresses (Care Compare)

517 N Bright Leaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-5200

517 N Brightleaf Blvd
Smithfield, NC 27577-4407

521 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000374 NC Practitioner - Family Practice 8820255938 Reassigns benefits to 1 organization

All facility ownership & control disclosures 7

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rex Hospital, Unc Rex HospitalRaleigh, NC, CCN 340114 Hospital Corporate Director Mar 7, 2022
Unc Health JohnstonSmithfield, NC, CCN 340090 Hospital Corporate Director Mar 22, 2018
Unc Health Johnston Behavioral HealthSmithfield, NC, CCN 34S090 Hospital Corporate Director Mar 22, 2018
Unc Rex Rehabilitation & Nursing Care Center of RaleighRaleigh, NC, CCN 345369 Skilled nursing facility Corporate Director Mar 7, 2022
Unc Rex Rehabilitation & Nursing Care Center of ApexApex, NC, CCN 345508 Skilled nursing facility Corporate Director Mar 7, 2022
Unc Health Johnston Home Care and HospiceSmithfield, NC, CCN 347105 Home health agency Corporate Director Mar 22, 2018
Secu Hospice House of Unc Health JohnstonSmithfield, NC, CCN 341561 Hospice Corporate Director Jan 31, 2019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9601434NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Johnston North Carolina CurrentSince May 6, 1998 Accepting new patients
Johnston County Public Health Department CurrentSince May 6, 1998 Accepting new patients

Locations

517 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 989-5200

Interoperability endpoints

  • Direct secure messaging: mpearson@johnston.curemd.direct-ci.com
  • Direct secure messaging: marilyn.pearson.1@32647.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1720141377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-5200",
            "fax_number": "833-438-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-5200",
            "fax_number": "833-438-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARILYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9601434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911859",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "9601431",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marilyn.pearson.1@32647.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "517 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.