Individual provider Active NPI

Lee G. Wilbur, MD

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1003925975
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E8306 Issued in AR
Practice address
6221 Colonel Glenn Rd Ste B
Little Rock, AR 72204-7731
Phone
(501) 441-5558
Fax
(501) 441-4041
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E8306 AR Primary
Emergency Medicine Physician 207P00000X 01058967A IN

Addresses

Primary practice location

6221 Colonel Glenn Rd Ste B
Little Rock, AR 72204-7731

Mailing address

6221 Colonel Glenn Rd Ste B
Little Rock, AR 72204-7731
Phone (501) 441-5558

Other identifiers 4

IdentifierTypeStateIssuer
201811001MedicaidAR
P00924303OtherINRAILROAD MEDICARE PTAN
000000331511OtherINANTHEM
200238230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203001888 AR Practitioner - Emergency Medicine 3072573187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
May accept Medicare assignment
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians
Divine Mercy Health CenterGroup PAC ID 2961914437, 5 clinicians

Practice addresses (Care Compare)

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300

6221 Colonel Glenn Rd
Suite B
Little Rock, AR 72204-7731
Phone (501) 680-1271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E8306ARMDEmergency Medicine Physician
01058967AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Emergency Group PLLC Emergency Medicine CurrentSince Jun 20, 2020 Accepting new patients
Divine Mercy Health Center CurrentSince Feb 4, 2025 Accepting new patients
University Emergency Medicine Emergency Medicine Past Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Emergency Medical Group, Inc. Emergency Medicine Past Accepting new patients

Locations

6221 Colonel Glenn Rd
Ste B
Little Rock, AR 72204
Phone (501) 441-5558

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1003925975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 COLONEL GLENN RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047731",
            "telephone_number": "501-441-5558",
            "fax_number": "501-441-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 COLONEL GLENN RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047731",
            "telephone_number": "501-441-5558",
            "fax_number": "501-441-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "LEE",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E8306",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01058967A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201811001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00924303",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000331511",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.