Individual provider Active NPI

Katrina Louise Pearsey

  • Registered Nurse
  • Rome, GA
National Provider Identifier
1861130874
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-151126 Issued in AL
Practice address
1838 Redmond Rd
Suite B &C
Rome, GA 30165
Phone
(334) 685-1496
NPI assigned
May 20, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-151126 AL Primary

Addresses

Primary practice location

1838 Redmond Rd
Suite B &C
Rome, GA 30165

Mailing address

PO Box 14
Gaylesville, AL 35973-0014
Phone (256) 706-0296

Other practice location 1

750 Hammond Dr Ste 150
Sandy Springs, GA 30328-5532
Phone (404) 480-6626

Other practice location 2

1601 Georgian Park
Peachtree City, GA 30269-6968
Phone (678) 992-5846

Other names 1

  • Katrina L Cassidy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-151126ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration of North Atlanta LLC CurrentSince May 1, 2022 Accepting new patients

Locations

750 Hammond Dr
Ste 150
Sandy Springs, GA 30328
Phone (404) 480-6626

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1861130874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "GAYLESVILLE",
            "state": "AL",
            "postal_code": "359730014",
            "telephone_number": "256-706-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 REDMOND RD",
            "address_2": "SUITE B &C",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "334-685-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Hammond Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285532",
            "country_code": "US",
            "telephone_number": "404-480-6626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Georgian Park",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302696968",
            "country_code": "US",
            "telephone_number": "678-992-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSEY",
        "first_name": "KATRINA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-151126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "CASSIDY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.