| Arcare | |
|
117 S 2nd St Augusta AR 72006 | |
| (870) 347-2534 | |
| (870) 347-3492 |
| Full Name | Arcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 S 2nd St, Augusta, Arkansas |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcare 117 S 2nd St Po Box 497 Augusta AR 72006-2309 Ph: (870) 347-2534 | Arcare 117 S 2nd St Augusta AR 72006 Ph: (870) 347-2534 |
| NPI Number | 1275635542 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20031206000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275635542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Safwan H Sakr |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053423350 PECOS PAC ID: 7618864307 Enrollment ID: I20040227000814 |
| Provider Name | Timothee T Wilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225188121 PECOS PAC ID: 7810984390 Enrollment ID: I20040427001129 |
| Provider Name | Larry Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841292000 PECOS PAC ID: 2860482494 Enrollment ID: I20040515000386 |
| Provider Name | Jonathan C Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871578500 PECOS PAC ID: 2264413723 Enrollment ID: I20040528001160 |
| Provider Name | James Workman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154364545 PECOS PAC ID: 9133105562 Enrollment ID: I20040626000351 |
| Provider Name | Russell Barlow Branum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629065685 PECOS PAC ID: 4789643693 Enrollment ID: I20041006001231 |
| Provider Name | Henry W Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063478493 PECOS PAC ID: 1153371976 Enrollment ID: I20050304000798 |
| Provider Name | Jasen Cheng CHI |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437141322 PECOS PAC ID: 7315983293 Enrollment ID: I20050727000886 |
| Provider Name | Lynn M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918505 PECOS PAC ID: 9537182829 Enrollment ID: I20060121000014 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611057 PECOS PAC ID: 4981603693 Enrollment ID: I20061206000540 |
| Provider Name | Katina Briscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023170305 PECOS PAC ID: 5395832562 Enrollment ID: I20071105000263 |
| Provider Name | Senthil K Raghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912111055 PECOS PAC ID: 5698865855 Enrollment ID: I20071212000425 |
| Provider Name | Charles Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689659674 PECOS PAC ID: 6204848922 Enrollment ID: I20080228000431 |
| Provider Name | Steven F Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699731091 PECOS PAC ID: 8921916099 Enrollment ID: I20080516000075 |
| Provider Name | Jesse D Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342531 PECOS PAC ID: 7911072384 Enrollment ID: I20080826000127 |
| Provider Name | Jan Ryszkowski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1134304512 PECOS PAC ID: 3577622604 Enrollment ID: I20081104000806 |
| Provider Name | Courtney B Manatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760562078 PECOS PAC ID: 9335209485 Enrollment ID: I20081119000071 |
| Provider Name | Denise Purnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235147513 PECOS PAC ID: 9436211125 Enrollment ID: I20090317000038 |
| Provider Name | Manjusha Kota |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629175922 PECOS PAC ID: 0143379750 Enrollment ID: I20090601000029 |
| Provider Name | Amy N Julian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194944421 PECOS PAC ID: 6800946609 Enrollment ID: I20090617000474 |
| Provider Name | Jamie Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053553024 PECOS PAC ID: 0042364572 Enrollment ID: I20090819000145 |
| Provider Name | C Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356360689 PECOS PAC ID: 0143362442 Enrollment ID: I20100125000795 |
| Provider Name | David L Brightwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538485941 PECOS PAC ID: 2466582960 Enrollment ID: I20100609000956 |
| Provider Name | Edward Merritt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043472962 PECOS PAC ID: 3870618150 Enrollment ID: I20100909000673 |
| Provider Name | Timothy M Killough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376659219 PECOS PAC ID: 4486779352 Enrollment ID: I20100915000810 |
| Provider Name | Rebecca Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558686402 PECOS PAC ID: 0446382873 Enrollment ID: I20100916001111 |
| Provider Name | Jennifer Leeann Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013223130 PECOS PAC ID: 2466648845 Enrollment ID: I20101124000505 |
| Provider Name | Meredith a Denton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063534949 PECOS PAC ID: 9032206966 Enrollment ID: I20101213000271 |
| Provider Name | Manichanh Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699067850 PECOS PAC ID: 1153592068 Enrollment ID: I20110927000053 |
| Provider Name | Suzanne E Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841441 PECOS PAC ID: 9032381868 Enrollment ID: I20111020000277 |
| Provider Name | Lydia Pauline Sartain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780943316 PECOS PAC ID: 0749446326 Enrollment ID: I20120726000031 |
| Provider Name | Monica M Bomar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578819405 PECOS PAC ID: 0345498176 Enrollment ID: I20120919000490 |
| Provider Name | Roy C Sampson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568686723 PECOS PAC ID: 4880845155 Enrollment ID: I20121114000180 |
| Provider Name | Renata J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003084336 PECOS PAC ID: 8022260595 Enrollment ID: I20121207000187 |
| Provider Name | Heather Deann Spoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790802809 PECOS PAC ID: 5294975702 Enrollment ID: I20130705000207 |
| Provider Name | Jarrett Elaine Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346684594 PECOS PAC ID: 3274774765 Enrollment ID: I20130725000595 |
| Provider Name | Matthew R. Patoka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623066 PECOS PAC ID: 9335381813 Enrollment ID: I20130813000375 |
| Provider Name | Melissa Alumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469887 PECOS PAC ID: 9133362569 Enrollment ID: I20130903000777 |
| Provider Name | Jo Ellen Greenhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457678054 PECOS PAC ID: 1951532605 Enrollment ID: I20140324000857 |
| Provider Name | Renee a Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700885522 PECOS PAC ID: 5597757617 Enrollment ID: I20140408001482 |
| Provider Name | Amy Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053735639 PECOS PAC ID: 1355573213 Enrollment ID: I20140409000510 |
| Provider Name | Todd Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184047730 PECOS PAC ID: 9537382098 Enrollment ID: I20140602001294 |
| Provider Name | Allison E Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194148197 PECOS PAC ID: 7719101104 Enrollment ID: I20140604001052 |
| Provider Name | Wendy a Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043592082 PECOS PAC ID: 4082838149 Enrollment ID: I20140610001969 |
| Provider Name | Amanda Leigh Shirron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811312960 PECOS PAC ID: 0143448217 Enrollment ID: I20140903000384 |
| Provider Name | Scarlett Faulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457751182 PECOS PAC ID: 7618198870 Enrollment ID: I20141031002158 |
| Provider Name | Sara Beth Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002364 PECOS PAC ID: 1153646294 Enrollment ID: I20150211001485 |
| Provider Name | Ottysha Andria White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255584637 PECOS PAC ID: 9537480892 Enrollment ID: I20150611002374 |
| Provider Name | Victoria R Zeiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285017517 PECOS PAC ID: 3476867201 Enrollment ID: I20150806011206 |
| Provider Name | Rhonda K Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124011754 PECOS PAC ID: 7214943604 Enrollment ID: I20151112002358 |
| Provider Name | Christine Marie Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801268479 PECOS PAC ID: 1759681786 Enrollment ID: I20151124001378 |
| Provider Name | Rhonda L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639536782 PECOS PAC ID: 2860796976 Enrollment ID: I20160210002218 |
| Provider Name | April Durham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629335955 PECOS PAC ID: 0042456667 Enrollment ID: I20160219002049 |
| Provider Name | Andrew F Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603552 PECOS PAC ID: 9032418272 Enrollment ID: I20160422000415 |
| Provider Name | Laurie Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588608699 PECOS PAC ID: 0244529816 Enrollment ID: I20160520001384 |
| Provider Name | Broderick Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992115646 PECOS PAC ID: 4587978259 Enrollment ID: I20160525000788 |
| Provider Name | Kerry E Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245680321 PECOS PAC ID: 8325331705 Enrollment ID: I20160722000189 |
| Provider Name | Greta S Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245889 PECOS PAC ID: 9436467974 Enrollment ID: I20160722001523 |
| Provider Name | Hope Merrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922424597 PECOS PAC ID: 9234426495 Enrollment ID: I20161003001407 |
| Provider Name | Rebecca Jane O'shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255887550 PECOS PAC ID: 1052691037 Enrollment ID: I20161208001738 |
| Provider Name | Ashley Dawn Shrives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003352444 PECOS PAC ID: 2466735824 Enrollment ID: I20170208002372 |
| Provider Name | Chitharanjan Duvoor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609131234 PECOS PAC ID: 0244557320 Enrollment ID: I20170719001201 |
| Provider Name | Carol Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326571159 PECOS PAC ID: 1951672468 Enrollment ID: I20170802000568 |
| Provider Name | Teresa L Rhew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780120097 PECOS PAC ID: 9830462373 Enrollment ID: I20170906001224 |
| Provider Name | Candis Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932623360 PECOS PAC ID: 5294009007 Enrollment ID: I20170918001894 |
| Provider Name | John Michael Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639689763 PECOS PAC ID: 9931465598 Enrollment ID: I20171114003336 |
| Provider Name | Brittney J Cato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016558 PECOS PAC ID: 5395002042 Enrollment ID: I20171205001636 |
| Provider Name | Lidwina W Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124355623 PECOS PAC ID: 9335408905 Enrollment ID: I20180108000387 |
| Provider Name | Tamra Lynn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657836 PECOS PAC ID: 9739448069 Enrollment ID: I20180112001882 |
| Provider Name | Toni Marie Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316475023 PECOS PAC ID: 3971862723 Enrollment ID: I20180124001068 |
| Provider Name | Jessica Lynn Duggar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368501 PECOS PAC ID: 4688934953 Enrollment ID: I20180206000147 |
| Provider Name | Mark Whitney Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770997645 PECOS PAC ID: 7214298272 Enrollment ID: I20180308000205 |
| Provider Name | John E Bolding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902284979 PECOS PAC ID: 3577826429 Enrollment ID: I20180406001200 |
| Provider Name | Shea Thomas Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730677675 PECOS PAC ID: 5698030633 Enrollment ID: I20180523000187 |
| Provider Name | John a Cockerell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669867099 PECOS PAC ID: 7113228529 Enrollment ID: I20180626002307 |
| Provider Name | Lori Ann Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073010138 PECOS PAC ID: 3678829454 Enrollment ID: I20180710000032 |
| Provider Name | Kimberly M Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427540525 PECOS PAC ID: 5193072551 Enrollment ID: I20180717003179 |
| Provider Name | Charles C Gothard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373824 PECOS PAC ID: 2860740651 Enrollment ID: I20180810001228 |
| Provider Name | Jessica K Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639656333 PECOS PAC ID: 8921357674 Enrollment ID: I20180814002343 |
| Provider Name | Steven a Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395427 PECOS PAC ID: 6800145715 Enrollment ID: I20180824001839 |
| Provider Name | Jadie Elizabeth Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770075558 PECOS PAC ID: 9931450624 Enrollment ID: I20180919001576 |
| Provider Name | Jennifer Lynne Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801035662 PECOS PAC ID: 5294086302 Enrollment ID: I20180927002910 |
| Provider Name | Merideth L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073801338 PECOS PAC ID: 2567716251 Enrollment ID: I20181115002401 |
| Provider Name | Brenan Davis Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972099059 PECOS PAC ID: 5799020186 Enrollment ID: I20181212002072 |
| Provider Name | Cindy a Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831665744 PECOS PAC ID: 8325386394 Enrollment ID: I20190218000919 |
| Provider Name | Kacee Bodiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801350137 PECOS PAC ID: 5092054726 Enrollment ID: I20190225001726 |
| Provider Name | Maree Leigh Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962762005 PECOS PAC ID: 2860732385 Enrollment ID: I20190320001705 |
| Provider Name | Ronald C Only |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710964226 PECOS PAC ID: 9436139185 Enrollment ID: I20190328002641 |
| Provider Name | Toni D Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821574815 PECOS PAC ID: 4981946605 Enrollment ID: I20190430000861 |
| Provider Name | Dana Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932681574 PECOS PAC ID: 4981938354 Enrollment ID: I20190619002194 |
| Provider Name | Lesli D Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831635093 PECOS PAC ID: 9234465337 Enrollment ID: I20190726002823 |
| Provider Name | Lisa a Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458698 PECOS PAC ID: 3870820046 Enrollment ID: I20190809002630 |
| Provider Name | Latonia F Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914814 PECOS PAC ID: 2961731088 Enrollment ID: I20190913002353 |
| Provider Name | Angela S Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932539418 PECOS PAC ID: 9436481280 Enrollment ID: I20191028000911 |
| Provider Name | Veronica Zak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003097841 PECOS PAC ID: 3779672308 Enrollment ID: I20191030001942 |
| Provider Name | Lindsey Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790327526 PECOS PAC ID: 0840622601 Enrollment ID: I20191115001644 |
| Provider Name | Sharon Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306409271 PECOS PAC ID: 6204269855 Enrollment ID: I20191212000476 |
| Provider Name | Jessie L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427691641 PECOS PAC ID: 4486088606 Enrollment ID: I20191221000600 |
| Provider Name | Rebecca J Yauilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420338 PECOS PAC ID: 0840624433 Enrollment ID: I20200108000417 |
| Provider Name | Alexandra Kurtzweil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982253266 PECOS PAC ID: 4789019142 Enrollment ID: I20200114001140 |
| Provider Name | William Z Goza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632033 PECOS PAC ID: 6406285006 Enrollment ID: I20200402001890 |
| Provider Name | Elizabeth a Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457415416 PECOS PAC ID: 6901110790 Enrollment ID: I20200429001634 |
| Provider Name | Cathy I Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407291305 PECOS PAC ID: 5698106151 Enrollment ID: I20200518000230 |
| Provider Name | Laura Beth Whited |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447871934 PECOS PAC ID: 3274964762 Enrollment ID: I20200518001525 |
| Provider Name | Ashton Brooke Nealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829405 PECOS PAC ID: 6204257496 Enrollment ID: I20200526000772 |
| Provider Name | Christy Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730638503 PECOS PAC ID: 7416378567 Enrollment ID: I20200528001736 |
| Provider Name | Michelle Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629599287 PECOS PAC ID: 3870869472 Enrollment ID: I20200827003696 |
| Provider Name | Leslie Tai Weatherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386257855 PECOS PAC ID: 6204254329 Enrollment ID: I20200922000544 |
| Provider Name | Amy Keywood |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821025164 PECOS PAC ID: 8527261973 Enrollment ID: I20201001001581 |
| Provider Name | Joseph Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891701959 PECOS PAC ID: 7416903018 Enrollment ID: I20210107000170 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20210107002609 |
| Provider Name | Tiara L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528352366 PECOS PAC ID: 1658785894 Enrollment ID: I20210128002156 |
| Provider Name | Kaylee a O'hare |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639767585 PECOS PAC ID: 3274948971 Enrollment ID: I20210210001021 |
| Provider Name | Jordan Alexander Bellew |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730778028 PECOS PAC ID: 4183030901 Enrollment ID: I20210302003101 |
| Provider Name | Aaron M Woodall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598358616 PECOS PAC ID: 3678989027 Enrollment ID: I20210309002245 |
| Provider Name | Kizzie Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225620149 PECOS PAC ID: 7517374820 Enrollment ID: I20210405000994 |
| Provider Name | Chelsea H Winemiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993925 PECOS PAC ID: 0446668438 Enrollment ID: I20210412001039 |
| Provider Name | Heather Ann Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144804022 PECOS PAC ID: 7618386293 Enrollment ID: I20210512000091 |
| Provider Name | Robert Colton Mcdaniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932793445 PECOS PAC ID: 8729487277 Enrollment ID: I20210603000583 |
| Provider Name | Laci M Tarrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417524372 PECOS PAC ID: 6507267283 Enrollment ID: I20210701002373 |
| Provider Name | Dannie Evenda Loy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685308 PECOS PAC ID: 5991107013 Enrollment ID: I20210713000963 |
| Provider Name | Michelle L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205407962 PECOS PAC ID: 1456754183 Enrollment ID: I20210719002920 |
| Provider Name | Caleb M Lunday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073184727 PECOS PAC ID: 4789087966 Enrollment ID: I20210726002315 |
| Provider Name | Wendy S Hanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083297741 PECOS PAC ID: 6406259688 Enrollment ID: I20210726002344 |
| Provider Name | Jaqueline R Howell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093388183 PECOS PAC ID: 7719381102 Enrollment ID: I20210806001695 |
| Provider Name | Candice Forte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236113 PECOS PAC ID: 0446655377 Enrollment ID: I20210816002581 |
| Provider Name | Natalie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033886809 PECOS PAC ID: 5698171965 Enrollment ID: I20210913000651 |
| Provider Name | Que'linda L Tillman-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821661802 PECOS PAC ID: 4284031048 Enrollment ID: I20210921001679 |
| Provider Name | Whitney L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821767260 PECOS PAC ID: 4486051968 Enrollment ID: I20210927000749 |
| Provider Name | Tabitha N Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619648060 PECOS PAC ID: 9931507423 Enrollment ID: I20211014000293 |
| Provider Name | Courtney M Drain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285397240 PECOS PAC ID: 5597153270 Enrollment ID: I20211029000682 |
| Provider Name | Richelle D Wortham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235891417 PECOS PAC ID: 0042608572 Enrollment ID: I20211102001622 |
| Provider Name | Waketta L Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297972 PECOS PAC ID: 5496145831 Enrollment ID: I20211129002338 |
| Provider Name | Sean M Palas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346785383 PECOS PAC ID: 5193068658 Enrollment ID: I20211201002199 |
| Provider Name | Julia L Clift |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649874736 PECOS PAC ID: 4183014251 Enrollment ID: I20211203000439 |
| Provider Name | Amanda G Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083116917 PECOS PAC ID: 6507114410 Enrollment ID: I20211230001180 |
| Provider Name | Jenna N Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629548458 PECOS PAC ID: 2567856206 Enrollment ID: I20220223001930 |
| Provider Name | Maria Isabelle Apigo Plata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679220677 PECOS PAC ID: 6204222102 Enrollment ID: I20220401000235 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20220510001280 |
| Provider Name | Amanda D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255063160 PECOS PAC ID: 6800277484 Enrollment ID: I20220713002368 |
| Provider Name | Amanda Kay Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563271 PECOS PAC ID: 1850767823 Enrollment ID: I20221017000064 |
| Provider Name | Marina Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531518 PECOS PAC ID: 6305213596 Enrollment ID: I20221101000313 |
| Provider Name | Taylor O Rittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831807650 PECOS PAC ID: 4183093024 Enrollment ID: I20221215000503 |
| Provider Name | Katherine O'neal Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942647581 PECOS PAC ID: 7315319761 Enrollment ID: I20230210001438 |
| Provider Name | Jessica S Frick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124782719 PECOS PAC ID: 9032588769 Enrollment ID: I20230301002231 |
| Provider Name | Jordan C Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295378289 PECOS PAC ID: 6608249073 Enrollment ID: I20230306001557 |
| Provider Name | Kayla Renee Denney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427734029 PECOS PAC ID: 5193184190 Enrollment ID: I20230710001042 |
| Provider Name | Ramonda K Housh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457504250 PECOS PAC ID: 3476708918 Enrollment ID: I20230821001704 |
| Provider Name | Derek Urban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033197454 PECOS PAC ID: 8224251707 Enrollment ID: I20230824000863 |
| Provider Name | Carley a Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033891619 PECOS PAC ID: 6800250846 Enrollment ID: I20230911000927 |
| Provider Name | Renisha Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205615010 PECOS PAC ID: 2668827650 Enrollment ID: I20231011001637 |
| Provider Name | Ariana a Spurger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609651561 PECOS PAC ID: 6406201359 Enrollment ID: I20231012000648 |
| Provider Name | Easton Danielle Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245011923 PECOS PAC ID: 6002262649 Enrollment ID: I20231102000563 |
| Provider Name | Jillian Tylar Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528840113 PECOS PAC ID: 6608225495 Enrollment ID: I20231205002134 |
| Provider Name | Mikayla Lauren Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770358780 PECOS PAC ID: 1850740606 Enrollment ID: I20231206000322 |
| Provider Name | Haley Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598531451 PECOS PAC ID: 4082063003 Enrollment ID: I20231215000028 |
| Provider Name | Christina Garrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952425720 PECOS PAC ID: 3971954827 Enrollment ID: I20240104004654 |
| Provider Name | Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538937339 PECOS PAC ID: 7517318835 Enrollment ID: I20240110003744 |
| Provider Name | Megan Millsap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801269006 PECOS PAC ID: 5597113977 Enrollment ID: I20240116000725 |
| Provider Name | Latisha Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134408636 PECOS PAC ID: 6800248840 Enrollment ID: I20240116001684 |
| Provider Name | Melinda Nicole Mclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811766207 PECOS PAC ID: 6709238777 Enrollment ID: I20240116002419 |
| Provider Name | Joshua Pursifull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003110420 PECOS PAC ID: 4385097344 Enrollment ID: I20240126000988 |
| Provider Name | Lynne Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730355108 PECOS PAC ID: 3072966936 Enrollment ID: I20240126001151 |
| Provider Name | Fannie Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730628074 PECOS PAC ID: 4688027428 Enrollment ID: I20240129002994 |
| Provider Name | Halle N Medley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245855436 PECOS PAC ID: 3476906835 Enrollment ID: I20240201001720 |
| Provider Name | Nicole Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073915849 PECOS PAC ID: 4688017353 Enrollment ID: I20240209000866 |
| Provider Name | James Eddins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295004836 PECOS PAC ID: 6002259728 Enrollment ID: I20240209002551 |
| Provider Name | Jennifer Suzanne Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225891427 PECOS PAC ID: 1355785775 Enrollment ID: I20240213004670 |
| Provider Name | Carter Lee Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540540 PECOS PAC ID: 6608211321 Enrollment ID: I20240304001494 |
| Provider Name | Henry M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649884560 PECOS PAC ID: 9234576869 Enrollment ID: I20240319001825 |
| Provider Name | Lacey Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215467766 PECOS PAC ID: 0042657868 Enrollment ID: I20240328000468 |
| Provider Name | Shannon Ardoin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053575506 PECOS PAC ID: 1355402306 Enrollment ID: I20240403001454 |
| Provider Name | Alena Nelton Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164289906 PECOS PAC ID: 3779921861 Enrollment ID: I20240409002454 |
| Provider Name | Margaret Seicshnaydre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508461823 PECOS PAC ID: 3274972872 Enrollment ID: I20240416001078 |
| Provider Name | Erin Logan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669199295 PECOS PAC ID: 0941640486 Enrollment ID: I20240430004027 |
| Provider Name | Julia L Clift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649874736 PECOS PAC ID: 4183014251 Enrollment ID: I20240520002806 |
| Provider Name | David Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932284833 PECOS PAC ID: 4284546987 Enrollment ID: I20240521000168 |
| Provider Name | Catherine P Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881003481 PECOS PAC ID: 0941742209 Enrollment ID: I20240603001655 |
| Provider Name | Shaquata Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831431733 PECOS PAC ID: 2961944137 Enrollment ID: I20240604002048 |
| Provider Name | Shelby Taylor Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912752445 PECOS PAC ID: 7416499553 Enrollment ID: I20240605000388 |
| Provider Name | Lloyd Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124161872 PECOS PAC ID: 3870517923 Enrollment ID: I20240621000052 |
| Provider Name | Amy Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629847132 PECOS PAC ID: 8921543141 Enrollment ID: I20240712000090 |
| Provider Name | Anna Polo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912744871 PECOS PAC ID: 5395281745 Enrollment ID: I20240723000351 |
| Provider Name | Ellie Faye Huffine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851138531 PECOS PAC ID: 1254877541 Enrollment ID: I20240723002268 |
| Provider Name | Jeanne Marotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932565967 PECOS PAC ID: 6507163466 Enrollment ID: I20240726003783 |
| Provider Name | Michaela Beth Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649018375 PECOS PAC ID: 3779029533 Enrollment ID: I20240729002413 |
| Provider Name | Cynthia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740923374 PECOS PAC ID: 1557808045 Enrollment ID: I20240801002439 |
| Provider Name | Kirby Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295183432 PECOS PAC ID: 3779020268 Enrollment ID: I20240801002641 |
| Provider Name | Jenny Rebecca Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316784085 PECOS PAC ID: 3476091497 Enrollment ID: I20240821001568 |
| Provider Name | Dana a Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194982397 PECOS PAC ID: 3274934005 Enrollment ID: I20240823000653 |
| Provider Name | Elizabeth a Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144794827 PECOS PAC ID: 3678014966 Enrollment ID: I20240926002823 |
| Provider Name | Maegan Cassidy Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215754627 PECOS PAC ID: 2062944085 Enrollment ID: I20241016000675 |
| Provider Name | Emma Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215509146 PECOS PAC ID: 4082148622 Enrollment ID: I20241105003205 |
| Provider Name | Norman Pennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295728251 PECOS PAC ID: 8527960251 Enrollment ID: I20241218000416 |
| Provider Name | Secoyia Key |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356745707 PECOS PAC ID: 3476082447 Enrollment ID: I20250122000070 |
| Provider Name | David Petros |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154306603 PECOS PAC ID: 7911040274 Enrollment ID: I20250124002895 |
| Provider Name | Joel a Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841941770 PECOS PAC ID: 5698204980 Enrollment ID: I20250131001113 |
| Provider Name | Julie Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427010123 PECOS PAC ID: 3173502978 Enrollment ID: I20250206000697 |
| Provider Name | Catherine Margaret Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912714304 PECOS PAC ID: 4587194204 Enrollment ID: I20250211002282 |
| Provider Name | Caronda Hill-cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154741403 PECOS PAC ID: 6406378413 Enrollment ID: I20250319003014 |
| Provider Name | Sarah Bodine |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841091394 PECOS PAC ID: 9931622073 Enrollment ID: I20250328002311 |
| Provider Name | Madison Brooke Christison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942094248 PECOS PAC ID: 1153846548 Enrollment ID: I20250417003072 |
| Provider Name | Abigail Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891584611 PECOS PAC ID: 5294244844 Enrollment ID: I20250604001673 |
| Provider Name | Kolton Taylor Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316830334 PECOS PAC ID: 1153830617 Enrollment ID: I20250604004330 |
| Provider Name | Summer Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215543749 PECOS PAC ID: 4385156868 Enrollment ID: I20250620002463 |
| Provider Name | Marlene Wadley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699541250 PECOS PAC ID: 6204348337 Enrollment ID: I20250625000308 |
| Provider Name | Bethany Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972223915 PECOS PAC ID: 5698131514 Enrollment ID: I20250701002081 |
| Provider Name | Alicia K Jagodzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629966965 PECOS PAC ID: 0244746808 Enrollment ID: I20250721002607 |
| Provider Name | Ana Moua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578364212 PECOS PAC ID: 4880101807 Enrollment ID: I20250725000816 |
| Provider Name | Angela D Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831071489 PECOS PAC ID: 3072011261 Enrollment ID: I20250807001814 |
| Provider Name | Zachary Wyatt Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699576603 PECOS PAC ID: 6406357870 Enrollment ID: I20250827005233 |
| Provider Name | Felicia Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669247714 PECOS PAC ID: 9931601663 Enrollment ID: I20250903002958 |
| Provider Name | Tanya Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639835499 PECOS PAC ID: 3375045974 Enrollment ID: I20250904000081 |
| Provider Name | Lashonda Ard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255781936 PECOS PAC ID: 4688027550 Enrollment ID: I20250905000182 |
| Provider Name | Aaron Thomas Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710207006 PECOS PAC ID: 4284137050 Enrollment ID: I20250910000214 |
| Provider Name | Sarai Ramirez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104704006 PECOS PAC ID: 3274036942 Enrollment ID: I20250910002451 |
| Provider Name | Glenn Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538240130 PECOS PAC ID: 7113191685 Enrollment ID: I20250918002367 |
| Provider Name | Ugochinyere Okechuku-wachuku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467149625 PECOS PAC ID: 0749638294 Enrollment ID: I20250930004665 |
| Provider Name | Bailey Elizabeth Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730051806 PECOS PAC ID: 1254837776 Enrollment ID: I20251003000400 |
| Provider Name | Lorin Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174496459 PECOS PAC ID: 5092203638 Enrollment ID: I20251024000659 |
| Provider Name | Cody Willis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679754063 PECOS PAC ID: 2769970318 Enrollment ID: I20251024000939 |
| Provider Name | Khyra Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003640350 PECOS PAC ID: 6204360936 Enrollment ID: I20251027002271 |
| Provider Name | Cris Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306454442 PECOS PAC ID: 3577962976 Enrollment ID: I20251110004001 |
| Provider Name | Savanna Kay Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285502286 PECOS PAC ID: 1456842293 Enrollment ID: I20251119001445 |
| Provider Name | Kallie Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699643957 PECOS PAC ID: 6507357357 Enrollment ID: I20251119001880 |
| Provider Name | Bailey Carol Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841168754 PECOS PAC ID: 2668964339 Enrollment ID: I20251120003989 |
| Provider Name | Kirsten Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538412242 PECOS PAC ID: 8921455346 Enrollment ID: I20251121001649 |
| Provider Name | Carroll D Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073540159 PECOS PAC ID: 9739246877 Enrollment ID: I20251122000226 |
| Provider Name | Manuela Debacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184597288 PECOS PAC ID: 5698268084 Enrollment ID: I20251203004417 |
| Provider Name | Megan Sarringar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407516974 PECOS PAC ID: 7719470814 Enrollment ID: I20251206000227 |
| Provider Name | Amoi Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760153688 PECOS PAC ID: 0143752428 Enrollment ID: I20251217004085 |
| Provider Name | Ericka Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487510848 PECOS PAC ID: 7012493414 Enrollment ID: I20260115000209 |
| Provider Name | Brittany Lynn Devenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134084585 PECOS PAC ID: 0840777819 Enrollment ID: I20260121002328 |
| Provider Name | Crystal Shilling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881957967 PECOS PAC ID: 5496055725 Enrollment ID: I20260128003342 |
| Provider Name | Hazel Moon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083186431 PECOS PAC ID: 3870073133 Enrollment ID: I20260216002754 |
| Provider Name | Samson T Olaitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245409135 PECOS PAC ID: 8628140100 Enrollment ID: I20260218001585 |
| Provider Name | Kimberly Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083206742 PECOS PAC ID: 7911314950 Enrollment ID: I20260220000630 |
| Provider Name | Kourtney Michelle Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396698353 PECOS PAC ID: 1951883651 Enrollment ID: I20260303002116 |
| Provider Name | Denisse Halford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003766502 PECOS PAC ID: 7517449267 Enrollment ID: I20260303003005 |
| Provider Name | Danica Brook Joplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174479257 PECOS PAC ID: 1951885003 Enrollment ID: I20260317004039 |
| Provider Name | Linda Rebecca Pierre-paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710575410 PECOS PAC ID: 2769878560 Enrollment ID: I20260319004224 |
| Provider Name | Chequan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821375932 PECOS PAC ID: 7618142019 Enrollment ID: I20260328000270 |
| Provider Name | Todd Bomar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336730084 PECOS PAC ID: 2769899012 Enrollment ID: I20260406001477 |
| Provider Name | Tonya King-charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756586 PECOS PAC ID: 0446513220 Enrollment ID: I20260415001128 |
| Provider Name | Sonya Saunders-railey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164237996 PECOS PAC ID: 2365964921 Enrollment ID: I20260424002078 |
| Provider Name | Angeline Sayles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245578731 PECOS PAC ID: 1658863295 Enrollment ID: I20260424003193 |
| Provider Name | Adrienne Dawn West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972457273 PECOS PAC ID: 6406323641 Enrollment ID: I20260424003406 |
| Provider Name | Leslie Elizabeth Ledbetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326796079 PECOS PAC ID: 2668859414 Enrollment ID: I20260430004107 |
| Provider Name | Stephanie Burden Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689122475 PECOS PAC ID: 1658849989 Enrollment ID: I20260505004557 |
| Provider Name | Kudirat Akolade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649745969 PECOS PAC ID: 7719421429 Enrollment ID: I20260508001813 |
| Provider Name | Laken R Crockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366098220 PECOS PAC ID: 2860960531 Enrollment ID: I20260511003928 |
| Provider Name | Tashanescii Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376211979 PECOS PAC ID: 8022587435 Enrollment ID: I20260514003798 |
| Provider Name | Patrice Whetsel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437718079 PECOS PAC ID: 3072084631 Enrollment ID: I20260604000559 |
| Provider Name | Rebecca Catherine Whittle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346910619 PECOS PAC ID: 7810468485 Enrollment ID: I20260604000833 |
| Provider Name | Elizabeth Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891087037 PECOS PAC ID: 9133434723 Enrollment ID: I20260605001726 |
Arcare 04 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 N 4th St, Augusta, AR 72006 Phone: 870-347-1137 Fax: 870-347-1139 |
Steven F Collier MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 South 2nd Street, Augusta, AR 72006 Phone: 870-347-2568 Fax: 870-347-2560 |
Arcare 10 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Highway 64 E, Augusta, AR 72006 Phone: 870-347-3350 Fax: 870-347-5556 |
Arcare37 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 N 1st St, Augusta, AR 72006 Phone: 870-347-2534 |
Arcare 29 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Main St, Augusta, AR 72006 Phone: 870-347-3402 Fax: 870-347-3403 |
Jesse D Moore MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 64 East, Augusta, AR 72006 Phone: 870-347-2568 Fax: 870-347-2560 |