Active NPI
Katrina Louise Pearsey
- Registered Nurse
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-151126
- Practice address
- 1838 Redmond Rd
Suite B &C
Rome, GA 30165 - Phone
- (334) 685-1496
- NPI assigned
- May 20, 2022
- Last updated
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-151126 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Regeneration of North Atlanta LLC | Current | 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.
-
- Family Medicine Physician
- Sandy Springs, GA
- NPI 1275122376
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.