ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) – Acute Care Nurse Practitioner, NPI 1457840340

ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) is a healthcare provider. based in Conyers, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A005603 (AR). The NPI Number for ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) is 1457840340

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANTISIA LAVETTE THOMPSON-PEARSALL (APRN)
NPI
1457840340
Phone
(770) 483-9330
Address
1412 MILSTEAD AVE NE STE 100
Enumeration Date
7 May 2018
Last Update Date
23 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709183000
Graduation Year
2016 (10 years ago)
PAC ID
8224383138
Group Practice PAC ID
0345321691
Professional Enrollment ID
I20210924000295
Address ID
GA300123877CO1412XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ANTISIA LAVETTE THOMPSON-PEARSALL (APRN)

  • 1412 MILSTEAD AVE NE STE 100

    CONYERS, GA 300123877

    Phone: (770) 483-9330

    Fax: (501) 664-0889

    Type: Location

  • 7, Shackleford West Boulevard, Little Rock, Pulaski County, Arkansas, 72211, United States

    LITTLE ROCK, AR 722113886

    Phone: (501) 664-5860

    Fax: (501) 664-0889

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $982.

Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Inari Medical, Inc. ($321).

Total Amount

$982

General + Research + Ownership

Payments

15

Total payment records

General Amount

$982

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210924000295INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 30012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345321691View full group profile
NameSpecialtyState
Nurse PractitionerTN
-GA
-GA
-GA
Nurse PractitionerGA
Internal MedicineOH
Nurse PractitionerGA
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
-GA

Reviews

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Frequently asked questions

Is ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) listed with a National Provider Identifier?
Yes — ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) has NPI 1457840340 on file in the registry.
Is ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) still an active registrant?
ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) carries an active NPI according to the public dataset.
What area of care is associated with ANTISIA LAVETTE THOMPSON-PEARSALL (APRN)?
ANTISIA LAVETTE THOMPSON-PEARSALL (APRN)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) registered?
Use Conyers, Georgia as the headline location for ANTISIA LAVETTE THOMPSON-PEARSALL (APRN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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