Healthcare Provider Details

I. General information

NPI: 1316574338
Provider Name (Legal Business Name): SARAH GREER PEARSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 IRVIN CT STE 200
DECATUR GA
30030-1705
US

IV. Provider business mailing address

976 DUNNING ST SE UNIT A
ATLANTA GA
30315-1807
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-9379
  • Fax:
Mailing address:
  • Phone: 251-455-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01220278
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN280177
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: