NPIMap

Individual provider Active NPI

George Scott Dicus, MD

  • Internal Medicine Physician
  • Benton, AR
National Provider Identifier
1033100433
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-0536 Issued in AR
Practice address
1 Medical Park Dr
Benton, AR 72015-3353
Phone
(501) 776-6000
NPI assigned
Nov 3, 2005
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-0536 AR Primary

Addresses

Primary practice location

1 Medical Park Dr
Benton, AR 72015-3353

Mailing address

610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831

Other practice location 1

610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831

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
I20040615001315 AR Practitioner - Internal Medicine 0446234603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient SolutionsGroup PAC ID 5597195206, 31 clinicians

Practice addresses (Care Compare)

5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-0536ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Jan 25, 2023 Accepting new patients
St Mary's Physician Services LLC Internal Medicine CurrentSince Jan 25, 2023 Accepting new patients
Saline Clinics LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Apr 6, 2020 Accepting new patients
Inpatient Solutions Internal Medicine CurrentSince Jan 19, 2020 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Apr 6, 2020 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

Hospital & facility affiliations 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1033100433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SHEPHERD DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436873",
            "telephone_number": "501-268-6831",
            "fax_number": "501-279-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Shepherd Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721436873",
            "country_code": "US",
            "telephone_number": "501-268-6831",
            "fax_number": "501-279-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICUS",
        "first_name": "GEORGE",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-0536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.