| Conrad Pearson Clinic PC | |
|
1325 Wolf Park Dr Ste 102 Germantown TN 38138-1759 | |
| (901) 252-3400 | |
| (901) 682-0047 |
| Full Name | Conrad Pearson Clinic PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1325 Wolf Park Dr Ste 102, Germantown, Tennessee |
| Authorized Official Name and Position | Michael Andrew Granieri (PRESIDENT) |
| Authorized Official Contact | 9012523400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Pearson Clinic PC 1325 Wolf Park Dr Ste 103 Germantown TN 38138-1759 Ph: (901) 252-3411 | Conrad Pearson Clinic PC 1325 Wolf Park Dr Ste 102 Germantown TN 38138-1759 Ph: (901) 252-3400 |
| NPI Number | 1992758882 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/26/2025 |
| Certification Date | 11/26/2025 |
| Medicare PECOS PAC ID | 7315832649 |
|---|---|
| Medicare Enrollment ID | O20040217000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992758882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 208800000X | Urology | (NU) | Secondary |
| Provider Name | Paul R Eber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124085634 PECOS PAC ID: 8325948615 Enrollment ID: I20040224000302 |
| Provider Name | Val Vogt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801811237 PECOS PAC ID: 8325930019 Enrollment ID: I20040330001480 |
| Provider Name | Ravi D Chauhan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588621254 PECOS PAC ID: 2163467754 Enrollment ID: I20050623001004 |
| Provider Name | James S Hausmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083617971 PECOS PAC ID: 2668562851 Enrollment ID: I20100506000646 |
| Provider Name | Thomas B Shelton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710945522 PECOS PAC ID: 4284666249 Enrollment ID: I20100827000838 |
| Provider Name | Robert Sterling Hollabaugh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437117561 PECOS PAC ID: 1658303615 Enrollment ID: I20100908000247 |
| Provider Name | John R Adams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962469023 PECOS PAC ID: 7012949076 Enrollment ID: I20100913000540 |
| Provider Name | William a Graves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124021365 PECOS PAC ID: 1153411343 Enrollment ID: I20111019000388 |
| Provider Name | Randall a Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174526339 PECOS PAC ID: 2961592159 Enrollment ID: I20111019000713 |
| Provider Name | Adam F Stewart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659544385 PECOS PAC ID: 2961666524 Enrollment ID: I20120611000433 |
| Provider Name | Joseph M Gleason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760669808 PECOS PAC ID: 0941366587 Enrollment ID: I20140825000837 |
| Provider Name | Amanda Malone Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245635291 PECOS PAC ID: 1557688009 Enrollment ID: I20150323001633 |
| Provider Name | Jamee Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346659505 PECOS PAC ID: 5092034249 Enrollment ID: I20150511000082 |
| Provider Name | Patrick Joseph Zielie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306959861 PECOS PAC ID: 8022086180 Enrollment ID: I20150730012947 |
| Provider Name | Jenna Leanne Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699220905 PECOS PAC ID: 7517245434 Enrollment ID: I20180504002276 |
| Provider Name | Michael Andrew Granieri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992095541 PECOS PAC ID: 2769750298 Enrollment ID: I20180731001766 |
| Provider Name | Matthew E Sims |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184119455 PECOS PAC ID: 0143579557 Enrollment ID: I20230703000308 |
| Provider Name | Leann N Smoot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174930259 PECOS PAC ID: 0345562542 Enrollment ID: I20230705002225 |
| Provider Name | Geoffrey Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922041896 PECOS PAC ID: 0941261879 Enrollment ID: I20231024001803 |
| Provider Name | Vibha Jain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669676060 PECOS PAC ID: 7012064728 Enrollment ID: I20240806002433 |
| Provider Name | Angie Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578298519 PECOS PAC ID: 8022559913 Enrollment ID: I20241104000966 |
| Provider Name | Haroon Afridi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033154620 PECOS PAC ID: 7911002639 Enrollment ID: I20250314002511 |
| Provider Name | Aaron Montgomery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144278169 PECOS PAC ID: 5991746018 Enrollment ID: I20250514001278 |
| Provider Name | Mohammad Halaibeh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710341961 PECOS PAC ID: 7719274059 Enrollment ID: I20250606003430 |
| Provider Name | Lars Erik Wallin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821434457 PECOS PAC ID: 8123268901 Enrollment ID: I20251211004319 |
| Provider Name | Julia Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346199932 PECOS PAC ID: 6901376441 Enrollment ID: I20260529000378 |
Biomechaniks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Village Shops Dr, Germantown, TN 38138 Phone: 901-620-6127 Fax: 901-620-6124 |
Baptist Urgent Care - Germantown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7860 Wolf River Blvd, Germantown, TN 38138 Phone: 901-390-4300 |
Germantown Back Pain Relief Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Germantown Rd S, Germantown, TN 38138 Phone: 901-754-8880 Fax: 901-754-8883 |
Iris Medical Practice PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike Ste 202, Germantown, TN 38138 Phone: 662-208-6234 Fax: 662-208-6235 |
Germantown Internal Medicine Associates,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7645 Wolf River Cir, Suite 202, Germantown, TN 38138 Phone: 901-348-6487 Fax: 901-791-0338 |
Internal Health and Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2158 Judicial Dr, Germantown, TN 38138 Phone: 901-421-5174 |