| Pearson Primary Care, LLC | |
|
844 Ritchie Hwy Ste 206 Severna Park MD 21146-4137 | |
| (410) 647-8829 | |
| Not Available |
| Full Name | Pearson Primary Care, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 844 Ritchie Hwy Ste 206, Severna Park, Maryland |
| Authorized Official Name and Position | Ellegant Pearson (PHYSICIAN / OWNER) |
| Authorized Official Contact | 3015239862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearson Primary Care, LLC 844 Ritchie Hwy Ste 206 Severna Park MD 21146-4137 Ph: (410) 647-8829 | Pearson Primary Care, LLC 844 Ritchie Hwy Ste 206 Severna Park MD 21146-4137 Ph: (410) 647-8829 |
| NPI Number | 1952243487 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Medicare PECOS PAC ID | 3678046711 |
|---|---|
| Medicare Enrollment ID | O20260622000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952243487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Ellegant S Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437418274 PECOS PAC ID: 0648588137 Enrollment ID: I20200709000417 |
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