Regional Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGIONAL FAMILY MEDICINE PA

Practice address

630 Burnett Dr
Mountain Home, AR 72653-2941

Phone

(870) 425-6971

Fax

(870) 508-8900

NPI assigned

Jul 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Gregory Elders, MDNPI 1174520688

Title

Ceo

Phone

(870) 425-6971

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gregory Elders, MD

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1174520688
  Medicare reassignment Care Compare group Authorized official
• Lonnie S Robinson, MD

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1962408435
  Medicare reassignment Care Compare group NPD
• Andrea Nichole Bounds, M.D.

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1619296407
  Medicare reassignment Care Compare group
• Ronald F Bruton, MD

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1033114566
  Medicare reassignment Care Compare group
• Alex Hagaman, DO

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1437738879
  Medicare reassignment Care Compare group
• George S Lawrence, M.D.

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1245237528
  Medicare reassignment Care Compare group
• Hannah Grace McCarthy, MD

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1972124337
  Medicare reassignment Care Compare group
• Sharon Jamie Pritchard, MD

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1215999016
  Medicare reassignment Care Compare group
• Hannah Elizabeth Caststeel, CNP

  • Family Nurse Practitioner
  • Mountain Home, AR
  • NPI 1225484512
  Medicare reassignment NPD
• Corinne Hiser, CNP

  • Nurse Practitioner
  • Mountain Home, AR
  • NPI 1063505147
  Medicare reassignment
• Michelle R Sharp, APRN/CNP

  • Family Nurse Practitioner
  • Mountain Home, AR
  • NPI 1548931132
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003814609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-425-6971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121500001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5F307",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrad C Reese, ANP FNP-BC
• Paul Reese, D.D.S.,P.A.
• Sandra Kaye Reese, LCSW
• Jodylyn Reeves
• Maghen Reeves
• Regional Orthopaedic Health Care (Twin Lakes Orthopaedics & Sports Medicine)
• Relief Center, LLC (The Relief Center)
• Renal Center of Mountain Home LLC (Renal Center of Mountain Home)
• Miranda Lauren Reynolds
• Joyce Marie Rhoads, AT

• Family Medicine Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.