MYRTLE M PEARSON NP NPI 1083786289

NPI Information

  • NPI: 1083786289
  • Provider Name: MYRTLE M PEARSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1605 PEACHTREE ST NE
    ATLANTA, GA
    ZIP 30309
  • Phone: (404) 870-7746

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NPI Details

Myrtle M Pearson, NP is a family nurse practitioner in Atlanta, GA with 35 years of experience. Myrtle M Pearson, NP NPI is 1083786289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1605 PEACHTREE ST NE
ATLANTA, GA
ZIP 30309-433
Phone: (404) 870-7746
Fax: (404) 870-7719

The NPI 1083786289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 12/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN071972GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q26143MEDICARE UPIN
250BBHVGMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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