CONRAD PEARSON CLINIC
NPI 1174864946
Clinic/Center - Medical Specialty in Germantown, TN

Q: What is Conrad Pearson Clinic's NPI number?

The NPI number for Conrad Pearson Clinic is 1174864946. It was assigned to this organization in the NPPES registry on March 4, 2013.

Q: What is Conrad Pearson Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since March 04, 2013

1325 WOLF PARK DR STE 102, GERMANTOWN, TN 38138(901) 252-4311(901) 763-4305 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Conrad Pearson Clinic NPPES

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

CONRAD PEARSON CLINIC (NPI 1174864946) is a healthcare organization registered as a medical specialty in Germantown, Tennessee and active in the NPI registry since March 2013. The organization lists Linda Wilson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1174864946

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameCONRAD PEARSON CLINIC

Location Address1325 WOLF PARK DR STE 102Germantown, TN 38138-1759

Mailing Address1325 Wolf Park Dr Ste 103Germantown, TN 38138-1759 · (901) 252-3411 · Fax (901) 763-4305

Phone(901) 252-4311

Fax(901) 763-4305

Organization SubpartNo

Authorized OfficialLinda WilsonCredentialing Specialist · (901) 252-3411

Enumeration DateMarch 4, 2013

✔ NPI 1174864946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

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).

1325 WOLF PARK DR STE 102, Germantown, TN 38138

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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 Compliance 44D0929197

Conrad Pearson Clinic (the) · Germantown, TN

Expired · Jul 27, 2026

CLIA Number44D0929197

Laboratory TypePhysician Office

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorDr. Adam F. Stewart

Laboratory Phone(901) 252-3422

Laboratory LocationConrad Pearson Clinic (the)1325 Wolf Park Dr, #102, Germantown, TN 38138

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANN NICOLE SMOOT PA-C

Physician Assistant