Conrad Pearson Clinic PC
NPI 1154173102 · Durable Medical Equipment & Medical Supplies · Southaven, MS
Enrolled with Medicare as Dme Supplier - Physician - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Conrad Pearson Clinic PC is a Durable Medical Equipment & Medical Supplies organization in Southaven, MS (NPI 1154173102).
Provider details
- NPI number
- 1154173102
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Conrad Pearson Clinic PC
- Organization subpart
- Yes
- Authorized official
- Paul Eber, Authorized Official(901) 252-3411
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Conrad Pearson Clinic PC's NPI number?
- Conrad Pearson Clinic PC's National Provider Identifier (NPI) is 1154173102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Conrad Pearson Clinic PC?
- Conrad Pearson Clinic PC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Conrad Pearson Clinic PC located?
- Conrad Pearson Clinic PC's practice location on file with NPPES is 125 Guthrie Dr Ste 100, Southaven, MS 38671-5829.
- What is Conrad Pearson Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Conrad Pearson Clinic PC is (662) 349-1964.
- Does Conrad Pearson Clinic PC accept Medicare?
- Conrad Pearson Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Conrad Pearson Clinic PC?
- The authorized official listed on Conrad Pearson Clinic PC's NPPES record is Paul Eber, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Conrad Pearson Clinic PC's NPI active?
- Yes — Conrad Pearson Clinic PC's NPI (1154173102) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.