Simmie Armstrong Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Pine Bluff, AR
NPI 1033102181 · NPPES record last updated Jan 21, 2015
Key facts
- NPI
- 1033102181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C6070 (AR)
- Practice address
- 1400 W 43Rd Ave
Pine Bluff, AR 71603-7010 - Phone
- (870) 535-6461
- Fax
- (870) 535-0594
- NPI assigned
- Aug 24, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 W 43Rd Ave
Pine Bluff, AR 71603-7010
Phone (870) 535-6461
Hospital & facility affiliations
- Jefferson Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080722000702 | AR | Practitioner - Family Practice |
7113090267 | Practice locations: Pine Bluff, AR |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6070 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmie Armstrong,Jr.,MD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C6070 | AR | Yes |
Addresses
Primary practice location
1400 W 43Rd Ave
Pine Bluff, AR 71603-7010
Mailing address
1400 W 43Rd Ave
Pine Bluff, AR 71603-7010
Phone (870) 535-6461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103070001 | Medicaid | AR |
Other providers in Pine Bluff, AR
- Arkansas Foot & Ankle Clinic, PA
- Arkansas Medical Center
- Arkansas Nephrology & Hypertension Clinic PA
- Arkansas Surgery & Endoscopy Center
- Rusty Armstrong
- Jessica Arnett
- ASC Anesthesia, PLLC
- Omar T Atiq
- Atiya Waheed MD PA
- Autonomy Health Care Providers LLC
All providers in Pine Bluff, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.