Individual provider Active NPI

Donna W Pearson, PA

  • Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1851332274
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000000941 Issued in TN
Practice address
1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone
(423) 756-6623
Fax
(423) 648-8084
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0000000941 TN Primary

Addresses

Primary practice location

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127

Mailing address

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 756-6623

Other identifiers 1

IdentifierTypeStateIssuer
3661929MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DONNA.PEARSON@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20050216000821 TN Practitioner - Physician Assistant 6305898453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

1000 Hwy 28
Jasper, TN 37347-3638
Phone (423) 837-9500

1008 Hwy 28
Jasper, TN 37347-3638
Phone (423) 837-3350

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 756-6623

2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone (423) 698-2435

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
941TNMDBehavioral Analyst
PA0000000941TNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: donna.pearson@hca1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851332274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "DONNA",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-01-18",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3661929",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DONNA.PEARSON@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1736 Gunbarrel Rd",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374213127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.