P Praxis·MD
● Active Type 1 · Individual

Ronald Bradburn Vincent Pearson JR., M.D.

Surgery·Blue Ridge, GA· NPI 1063466803 · Enumerated 2006 · 20 years on NPI
Pearson is 1 of 2 surgery providers in Blue Ridge and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2006-05-19
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, WV
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
2855 Old Highway 5 Ste 108
Blue Ridge, GA 305136239
📞 7066324217fax 7066324244
Mailing address
2855 Old Highway 5 Ste 108
Blue Ridge, GA 305136239
📞 7066324217fax 7066324244

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2855 Old Highway 5
Blue Ridge, GA 305136248
📞 7066324217fax 7066324244

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #110203WV license #20152 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (WV) BR5113081 MEDICARE PART B GROUP
01 (WV) 0001417002 MEDICAID GROUP
01 (WV) 5T5100381 MEDICARE GROUP
05 (WV) 7300262000
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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