ANTISIA LAVETTE THOMPSON-PEARSALL APRN
NPI 1457840340
Nurse Practitioner - Acute Care in Conyers, GA

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
1412 MILSTEAD AVE NE STE 100, CONYERS, GA 30012(770) 483-9330(501) 664-0889 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, May 18, 2021, May 7, 2018 (3 updates tracked since 2018).

About Antisia Lavette Thompson-pearsall Aprn NPPES

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

ANTISIA LAVETTE THOMPSON-PEARSALL APRN (NPI 1457840340) is an individual acute care provider in Conyers, Georgia, licensed in Georgia (RN299456) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457840340
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANTISIA LAVETTE THOMPSON-PEARSALLCredential: APRN
Location Address1412 MILSTEAD AVE NE STE 100Conyers, GA 30012-3877
Mailing Address1412 Milstead Ave Ne Ste 100Conyers, GA 30012-3877
Fax(501) 664-0889
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 7, 2018
Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1457840340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in GA · RN299456 Licensed in AR · A005603
1412 MILSTEAD AVE NE STE 100, Conyers, GA 30012

Other Names 1

Former Name (1)Antisia L Thompson Aprn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antisia Lavette Thompson-pearsall Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224383138
PECOS Enrollment IDI20210924000295
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Cardiovascular Disease)
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Surgery (Vascular Surgery)
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Physician Assistant
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Surgery (Vascular Surgery)
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Nurse Practitioner (Gerontology)
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Internal Medicine (Interventional Cardiology)
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012
Internal Medicine
1412 MILSTEAD AVE NE STE 100
CONYERS, GA 30012

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 Antisia Thompson-pearsall's NPI number?

The NPI number for Antisia Thompson-pearsall is 1457840340. It was assigned to this individual provider in the NPPES registry on May 7, 2018. The provider is also known as Antisia L Thompson Aprn.

Where is Antisia Thompson-pearsall located?

Antisia Thompson-pearsall practices at 1412 Milstead Ave NE Ste 100, Conyers, GA 30012. The listed phone number is (770) 483-9330.

What is Antisia Thompson-pearsall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Antisia Thompson-pearsall enrolled in Medicare?

Yes. Antisia Thompson-pearsall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Antisia Thompson-pearsall affiliated with any hospitals?

According to CMS data, Antisia Thompson-pearsall is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Antisia Thompson-pearsall was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.