CONRAD PEARSON CLINIC – NPI #1174864946
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

CONRAD PEARSON CLINIC is an AHC clinic located in GERMANTOWN, TN. NPPES has assigned the NPI number 1174864946 to CONRAD PEARSON CLINIC on March 04, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONRAD PEARSON CLINIC below.

NPI Profile for
CONRAD PEARSON CLINIC

NPI Number
1174864946
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONRAD PEARSON CLINIC
Primary location
1325 WOLF PARK DR STE 102
GERMANTOWN, TN 38138-1759
Phone: (901) 252-4311 Fax: (901) 763-4305
Mailing address
1325 WOLF PARK DR STE 103
GERMANTOWN, TN 38138-1759
Phone: (901) 252-3411 Fax: (901) 763-4305
Organization Subpart
No
Authorized Official
LINDA WILSON
CREDENTIALING SPECIALIST
Phone: (901) 252-3411
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.