NPIMap

Individual provider Active NPI

Jeff Ryan Thomas, P.A.

  • Medical Physician Assistant
  • North Little Rock, AR
National Provider Identifier
1013281609
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PT1211 Issued in AR
Practice address
4200 Stockton Dr
North Little Rock, AR 72117-2915
Phone
(501) 945-2121
Fax
(501) 955-9073
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT1211 AR Primary

Addresses

Primary practice location

4200 Stockton Dr
North Little Rock, AR 72117-2915

Mailing address

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000507 AR Practitioner - Physician Assistant 4688836273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Arkansas Urology, P.a.Group PAC ID 4082502547, 39 clinicians
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

1375 Superior Dr
Conway, AR 72032-7018
Phone (501) 219-8900

2504 W Main St
Suite a
Russellville, AR 72801-2536
Phone (501) 219-8900

2505 W Beebe Expressway
Suite 101
Searcy, AR 72143-4802
Phone (501) 278-2800

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

4200 Stockton Dr
North Little Rock, AR 72117-2915
Phone (501) 410-1188

Hospital & facility affiliations

  • White County Medical Center Hospital, Searcy, AR, CCN 040014
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as apm
Quality
77.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PT1211ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Urology, PA Past Accepting new patients
White County Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeff.thomas.1@10448.direct.athenahealth.com

Organizations & group practices 4

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013281609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900",
            "fax_number": "501-537-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 STOCKTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172915",
            "telephone_number": "501-945-2121",
            "fax_number": "501-955-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFF",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.