| Midsouth Transitions Arkansas Pa | |
|
6010 Trinity Hts, Texarkana, AR 71854-8318 | |
| (430) 200-4350 | |
| (833) 491-2722 |
| Full Name | Midsouth Transitions Arkansas Pa |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 6010 Trinity Hts, Texarkana, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003427873 | NPI | - | NPPES |
| Provider Name | Vernon D Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311068 PECOS PAC ID: 1557344595 Enrollment ID: I20040610000646 |
| Provider Name | William H Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376561647 PECOS PAC ID: 3375649841 Enrollment ID: I20121030000448 |
| Provider Name | Mary E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578947925 PECOS PAC ID: 1759698566 Enrollment ID: I20150910002820 |
| Provider Name | Ellen G Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730552944 PECOS PAC ID: 3476856220 Enrollment ID: I20160128000576 |
| Provider Name | Jessica M Upchurch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649720095 PECOS PAC ID: 8729366919 Enrollment ID: I20161021001412 |
| Provider Name | Ashlee M Vanhouten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306297965 PECOS PAC ID: 8325329345 Enrollment ID: I20170628002782 |
| Provider Name | Kristin L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689203 PECOS PAC ID: 0648549378 Enrollment ID: I20170711003308 |
| Provider Name | Crystal Stanberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053840082 PECOS PAC ID: 0840560926 Enrollment ID: I20170721002833 |
| Provider Name | Amanda J Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365358 PECOS PAC ID: 9032476338 Enrollment ID: I20171121002528 |
| Provider Name | Jessica M Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376020917 PECOS PAC ID: 7911257001 Enrollment ID: I20180911003146 |
| Provider Name | Michelle Marie Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972127793 PECOS PAC ID: 3779905195 Enrollment ID: I20200611003295 |
| Provider Name | Katy A Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972105054 PECOS PAC ID: 6800202839 Enrollment ID: I20210317000103 |
| Provider Name | Logan Scroggins Sisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295311280 PECOS PAC ID: 2860891942 Enrollment ID: I20210521000686 |
| Provider Name | Candy Lee Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619550092 PECOS PAC ID: 1850792607 Enrollment ID: I20210630002043 |
| Provider Name | Kimberly Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952901340 PECOS PAC ID: 0345642633 Enrollment ID: I20210708002920 |
| Provider Name | April Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750904199 PECOS PAC ID: 7911309885 Enrollment ID: I20210714003188 |
| Provider Name | Kathryn P Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610173 PECOS PAC ID: 3173929445 Enrollment ID: I20210913000501 |
| Provider Name | Christy N Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073631 PECOS PAC ID: 3870981673 Enrollment ID: I20211028000206 |
| Provider Name | Jason R Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548850084 PECOS PAC ID: 5890184964 Enrollment ID: I20211110002242 |
| Provider Name | Lindsey P Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167874 PECOS PAC ID: 4587054333 Enrollment ID: I20211209001576 |
| Provider Name | John M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174122121 PECOS PAC ID: 0143610832 Enrollment ID: I20211213001403 |
| Provider Name | Autumn Paige Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538801741 PECOS PAC ID: 9032596515 Enrollment ID: I20220523001831 |
| Provider Name | Dianna S Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124755079 PECOS PAC ID: 2860869617 Enrollment ID: I20221108000277 |
| Provider Name | Samantha Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831884139 PECOS PAC ID: 7416319777 Enrollment ID: I20230817003585 |
| Provider Name | Nina C Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316626971 PECOS PAC ID: 9436505179 Enrollment ID: I20231031004016 |
| Provider Name | Caleb L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569508 PECOS PAC ID: 0648502039 Enrollment ID: I20240212002392 |
| Provider Name | Shelbie R Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316788276 PECOS PAC ID: 0244773588 Enrollment ID: I20240614003393 |
| Provider Name | Alexis A Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417793860 PECOS PAC ID: 0749726891 Enrollment ID: I20240724004272 |
| Provider Name | Susan E Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205007309 PECOS PAC ID: 1759452741 Enrollment ID: I20240805003473 |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Transitions Arkansas Pa 5904 Summerfield Dr, Texarkana, TX 75503-4306 Ph: (430) 200-4350 | Midsouth Transitions Arkansas Pa 6010 Trinity Hts, Texarkana, AR 71854-8318 Ph: (430) 200-4350 |