DR. WILLIAM KEVIN PEARSON (NPI# 1013911817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013911817 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM KEVIN PEARSON |
| Credential | DPM |
| Practice Address |
1975 Highway 54 W Suite 205 Peachtree City GA 30269-4794 |
| Practice Telephone | 6785619000 |
| Practice Fax Number | 7704871232 |
| Mailing Telephone | 6785619000 |
| Mailing Fax Number | 7704871232 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000623 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00455661F | 05 | |
| GA | MEDICARE PTAN | 202I487652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085579 | William Brian Pearson | Contractor | 687 W 450 N, Marion, IN 46952-9729 | 2018-08-30 |
| 1821411174 | William Pearson | Nurse Practitioner | 10 Burton Hills Blvd, Nashville, TN 37215-6105 | 2014-01-22 |
| 1770727471 | William J Pearson | Contractor | 264 Cradle Lake Dr, Divide, CO 80814-9780 | 2009-04-24 |
| 1124267125 | William E Pearson | Neurological Surgery | 9454 Parks Rd, Utica, KY 42376-9574 | 2009-02-13 |
| 1417160987 | William Clay Pearson | Counselor | 211 W Mesa Ave, Suite #4, Gallup, NM 87301-6382 | 2007-05-08 |
| 1831287523 | William Edwin Pearson | Dentist | 749 Oxford Dr, Idaho Falls, ID 83401-4203 | 2006-10-10 |
| 1497766976 | William Richard Pearson | Dentist | 36 Genesee Street, Hornell, NY 14843-1614 | 2006-08-10 |
| 1619942968 | William F. Pearson | Anesthesiology | 4500 Berringer Dr, Niceville, FL 32578-4258 | 2006-02-21 |
| 1699776153 | William Keith Pearson | Dentist | 40 N Kingshighway Blvd Apt 4l, Saint Louis, MO 63108-1350 | 2005-08-09 |
| 1033602644 | William O. Pearson Iv | Marriage & Family Therapist | Anne Carlsen Center, 3030 24th Ave S, Moorhead, MN 56560 | 2018-06-08 |
| Street Address |
1975 HIGHWAY 54 W SUITE 205 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-4794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941115 | Joseph D Giovinco | Podiatrist | 1975 Highway 54 W, Ste 200, Peachtree City, GA 30269-4794 | 2005-06-09 |
| 1073978672 | Shamekia Tucker | Nurse Practitioner | 1975 Highway 54 W, Suite 110, Peachtree City, GA 30269-4794 | 2015-12-24 |
| 1023408283 | Lorene Greene | Nurse Practitioner | 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269-4794 | 2015-01-27 |
| 1780006437 | Sidharth V. Reddy | Podiatrist | 1975 Highway 54 W, Suite 205, Peachtree City, GA 30269-4794 | 2014-01-15 |
| 1548608813 | Frankie Junior Hugh White | Family Medicine | 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269-4794 | 2013-06-10 |
| 1619242922 | Shannon Lotus Ashley | Family Medicine | 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269-4794 | 2012-03-20 |
| 1487724324 | Bhavin Vijay Mehta | Podiatrist | 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269-4794 | 2006-11-08 |
| 1336232958 | Southern Pain Institute, PC | Pain Medicine | 1975 Highway 54 W, Suite 100, Peachtree City, GA 30269-4794 | 2006-10-02 |
| 1992716443 | Sandra Leigh Castle-oh | Family Medicine | 1975 Highway 54 W, Suite 150, Peachtree City, GA 30269-4794 | 2006-08-10 |
| 1952364192 | Scott R Roman | Podiatrist | 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269-4794 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831537877 | Nicholas Anthony Giovinco | Podiatrist | 1975 Hwy 54 W., Ste 200, Peachtree City, GA 30269-4794 | 2013-06-12 |
| 1316941115 | Joseph D Giovinco | Podiatrist | 1975 Highway 54 W, Ste 200, Peachtree City, GA 30269-4794 | 2005-06-09 |
| 1780006437 | Sidharth V. Reddy | Podiatrist | 1975 Highway 54 W, Suite 205, Peachtree City, GA 30269-4794 | 2014-01-15 |
| 1952364192 | Scott R Roman | Podiatrist | 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269-4794 | 2006-04-10 |
| 1588668289 | Michael F Dombek | Podiatrist | 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269-4794 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on DR. WILLIAM KEVIN PEARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.