Active NPI
Conrad Pearson Clinic PC
- Multi-Specialty Clinic/Center
- Germantown, TN
National Provider Identifier
1992758882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CONRAD PEARSON CLINIC PC
- Practice address
- 1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759 - Phone
- (901) 252-3400
- Fax
- (901) 682-0047
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Andrew Granieri, MD
- Title
- President
- Phone
- (901) 252-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Mailing address
1325 Wolf Park Dr Ste 103
Germantown, TN 38138-1759
Phone (901) 252-3411
Other practice location 1
1727 Kirby Pkwy Ste 150
Memphis, TN 38120-4347
Phone (901) 252-3400
Other practice location 2
125 Guthrie Dr
Southaven, MS 38671-5829
Phone (662) 349-1964
Other practice location 3
3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone (901) 252-3400
Other names 1
- The Conrad Pearson Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 3
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Cordova, TN
- NPI 1285486241
7315832649
-
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
- NPI 1154173102
7315832649
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2176762 | Conrad Pearson Clinic, the | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- Conrad Pearson Clinic PC
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
- NPI 1154173102
Member Of
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Member Of
Locations
125 Guthrie Dr
Southaven, MS 38671
Phone (601) 349-1964
1727 Kirby Pkwy
Ste 107
Memphis, TN 38120
3950 New Covington Pike
Ste 340
Memphis, TN 38128
Phone (901) 252-3400
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1992758882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 WOLF PARK DR STE 103",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381759",
"telephone_number": "901-252-3411",
"fax_number": "901-384-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 WOLF PARK DR STE 102",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381759",
"telephone_number": "901-252-3400",
"fax_number": "901-682-0047"
}
],
"practiceLocations": [
{
"address_1": "1727 Kirby Pkwy Ste 150",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381204347",
"country_code": "US",
"telephone_number": "901-252-3400",
"fax_number": "901-763-4305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Guthrie Dr",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715829",
"country_code": "US",
"telephone_number": "662-349-1964",
"fax_number": "901-763-4305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3145 Players Club Pkwy",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381258835",
"country_code": "US",
"telephone_number": "901-252-3400",
"fax_number": "901-763-4305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONRAD PEARSON CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "GRANIERI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-252-3400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30.8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Conrad Pearson Clinic",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "The Conrad Pearson Clinic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.