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CONRAD PEARSON CLINIC PC
NPI 1154173102
Durable Medical Equipment & Medical Supplies in Southaven, MS

Active since April 03, 2024CLIA 25D0946191 · Accreditation
125 GUTHRIE DR STE 100, SOUTHAVEN, MS 38671(662) 349-1964 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2025, Apr 15, 2024, Apr 8, 2024 and 1 more (4 updates tracked since 2024).

About Conrad Pearson Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD PEARSON CLINIC PC (NPI 1154173102) is a healthcare organization registered as a durable medical equipment & medical supplies in Southaven, Mississippi and active in the NPI registry since April 2024. The organization holds an CLIA Accreditation certificate valid through July 2, 2027 and lists Paul Eber, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154173102
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCONRAD PEARSON CLINIC PC
Location Address125 GUTHRIE DR STE 100Southaven, MS 38671-5829
Mailing Address125 Guthrie Dr Ste 100Southaven, MS 38671-5829 · (662) 349-1964
Phone(662) 349-1964
Organization SubpartYes
Authorized OfficialPaul EberAuthorized Official · (901) 252-3411
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1154173102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
125 GUTHRIE DR STE 100, Southaven, MS 38671
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 25D0946191

Conrad Pearson Clinic, The · Southaven, MS
Active · expires Jul 2, 2027
CLIA Number25D0946191
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDr. Vibha Jain
Laboratory Phone(662) 349-1964
Laboratory LocationConrad Pearson Clinic, The125 Guthrie Drive, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Pearson Clinic PC's NPI number?

The NPI number for Conrad Pearson Clinic PC is 1154173102. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Conrad Pearson Clinic PC located?

Conrad Pearson Clinic PC is located at 125 Guthrie Dr Ste 100, Southaven, MS 38671. The listed phone number is (662) 349-1964.

What is Conrad Pearson Clinic PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Conrad Pearson Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 25D0946191) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Conrad Pearson Clinic PC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.