Amy Pearson, P.C.
Organization Active NPI Specialist · Richmond Hill, GA
NPI 1831493048 · NPPES record last updated Nov 4, 2015
Key facts
- NPI
- 1831493048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 47638 (GA)
- Legal business name
- AMY PEARSON, P.C.
- Practice address
- 2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959 - Phone
- (912) 756-3005
- Fax
- (912) 756-5921
- NPI assigned
- Jan 3, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Amy Pearson, M.D.
- Title
- President
- Phone
- (912) 756-3005
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 47638 | GA | Yes |
Addresses
Primary practice location
2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959
Mailing address
2453 US Highway 17
Suite G
Richmond Hill, GA 31324-5959
Phone (912) 756-3005
NPI Registry JSON
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1831493048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 US HIGHWAY 17",
"address_2": "SUITE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245959",
"telephone_number": "912-756-3005",
"fax_number": "912-756-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 US HIGHWAY 17",
"address_2": "SUITE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245959",
"telephone_number": "912-756-3005",
"fax_number": "912-756-5921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY PEARSON, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-756-3005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "47638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.