MYRTLE M PEARSON (NP) – Family Nurse Practitioner, NPI 1083786289
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MYRTLE M PEARSON (NP)
8390, ChampionsGate Boulevard, ChampionsGate, Osceola County, Florida, 33896, United States
SUITE 215
CHAMPIONS GATE, FL 338968310
Phone: (407) 390-1677
Fax: (407) 390-1765
Type: Mailing
Peachtree Street Northeast, Five Points, Atlanta, Fulton County, Georgia, 30303, United States
ATLANTA, GA 303092433
Phone: (404) 870-7746
Fax: (404) 870-7719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: ViiV Healthcare Company ($45).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $45 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041022000503 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33896)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | GA | |
| Clinical Social Worker | GA | |
| P S Y C H I A T R Y | MS | |
| Nurse Practitioner | GA | |
| - | DE | |
| Family Practice | GA | |
| Psychiatry, Addiction Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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