Kathy D Pearson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001007703 Issued in NC

Practice address

2624 Ortho Dr W
Wilson, NC 27893-3484

Phone

(252) 991-5261

Fax

(252) 991-5262

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

79.2

Promoting interoperability

99

Improvement activities

40

Cost

77.12

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Regional Medical Oncology Center PA

  • Hematology & Oncology Physician
  • Wilson, NC
  • NPI 1407117948
  Medicare reassignment

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790781631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Loftis Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062981",
            "country_code": "US",
            "telephone_number": "757-873-9400",
            "fax_number": "757-873-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Loftis Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062981",
            "country_code": "US",
            "telephone_number": "757-873-9400",
            "fax_number": "757-873-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KATHY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001691",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001007703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "71182P",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Gerald Payne, OD
• Michael Peacock, MS, NCC, LPCA
• Peak Healthcare, PA
• Shawn Dexter Pearce, CRNA
• Barbara Jean Pearson, LCSW-A
• Thomas Stephen Pedigo, LCSW
• Christina Maria Peele
• Pelham Home Health Services, Inc. (Pelham Home Health)
• Archie Pender, LCAS-A
• Janice Pender, MS, LCASA

• Physician Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.