South Point Healthcare PC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

SOUTH POINT HEALTHCARE PC

Practice address

613 Thompson Ave
El Dorado, AR 71730-4557

Phone

(870) 881-8558

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David Jernigan

Title

Adminstrator

Phone

(870) 881-8558

Specialties & licenses 2

Addresses

Other names 1

• South Point Dermatology Doing business as

Locations

Practitioners 1

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

• James Cooper Keane, M.D.

  • Procedural Dermatology Physician
  • Little Rock, AR
  • NPI 1427221704
  NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1013311976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 WOODBROOK DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113165",
            "telephone_number": "678-357-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304557",
            "telephone_number": "870-881-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POINT HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "870-881-8558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Point Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• South Central Hospitalists, LLP
• Steven Clark South, DC
• Southark Imaging LLC
• Steven Sowell, O D P A
• Courtney Soza, CRNA
• Brittany Speake

• All providers in El Dorado, AR
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.