Individual provider Active NPI

Billy Pearson, NP

  • Nurse Practitioner
  • Columbia, MS
National Provider Identifier
1780025809
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R858322 Issued in MS
Practice address
1560 Sumrall Rd
Columbia, MS 39429-2654
Phone
(601) 736-6303
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R858322 MS Primary

Addresses

Primary practice location

1560 Sumrall Rd
Columbia, MS 39429-2654

Mailing address

PO Box 281030
Atlanta, GA 30384-1030
Phone (904) 482-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130924000799 MS Practitioner - Nurse Practitioner 5799929113 Reassigns benefits to 12 organizations
I20210420002082 LA Practitioner - Nurse Practitioner 5799929113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Walthall General LLCGroup PAC ID 2365881091, 16 clinicians
RH Hospitalist Medicine of Jefferson Davis LLCGroup PAC ID 6103265145, 8 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122

1102 Rose St
Prentiss, MS 39474-5200
Phone (601) 792-4276

Hospital & facility affiliations

  • Jefferson Davis Community Hospital Cah Hospital, Prentiss, MS, CCN 251326
  • Walthall County General Hospital Cah Hospital, Tylertown, MS, CCN 251324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R858322MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Marion General LLC CurrentSince Jan 1, 2024 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
Washington Parish Emergency Physicians Group LLC CurrentSince Apr 1, 2021 Accepting new patients
Franklin County Memorial Hospital CurrentSince Mar 5, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Jul 20, 2013 Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Apr 1, 2021 Accepting new patients
RH Emergency Medicine of Pearl River LLC CurrentSince Jan 1, 2024 Accepting new patients
Franklin County Memorial Hospital CurrentSince Mar 5, 2019 Accepting new patients
Field Memorial Community Hospital CurrentSince Feb 25, 2017 Accepting new patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Forest General Dba Highland Community Hospital CurrentSince Nov 26, 2021 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
RH Emergency Medicine of Perry County LLC CurrentSince Feb 1, 2024 Accepting new patients
Forrest County General Hospital CurrentSince Nov 26, 2021 Accepting new patients
Field Memorial Community Hospital CurrentSince Feb 25, 2017 Accepting new patients
Jefferson County Hospital Past Accepting new patients
Keystone Medical Services of Mississippi, PA Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

40 Union Church Rd
Meadville, MS 39653
Phone (601) 384-2273

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Interoperability endpoints

  • Direct secure messaging: billy.pearson.1@13136.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13136/brand/1/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1780025809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281030",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841030",
            "telephone_number": "904-482-1070",
            "fax_number": "904-482-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292654",
            "telephone_number": "601-736-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BILLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R858322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.