Individual provider Active NPI

Andrea Kay Correll, M.D.

  • Anesthesiology Physician
  • Mountain Home, AR
National Provider Identifier
1033384698
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E8267 Issued in AR
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 508-6700
Fax
(870) 508-6769
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X E8267 AR Primary

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

408 PD Flat Rd
Harrison, AR 72601-6259
Phone (870) 404-3666

Other practice location 1

4301 W Markham St
Slot# 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

4301 W Markham St
Slot# 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 3

620 N Main St
Harrison, AR 72601
Phone (870) 414-4000

Other names 1

  • Dr. Andrea Kay Ratchford Former name

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
I20140825002298 AR Practitioner - Anesthesiology 1658598594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris W Taylor, M.D., P.a.Group PAC ID 0244326502, 3 clinicians

Practice addresses (Care Compare)

1425 Rock Springs Rd
Harrison, AR 72601-8933
Phone (870) 741-1616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8267ARMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris W Taylor, M.D., P.a. CurrentSince Dec 9, 2025 Accepting new patients
Chris Taylor Cosmetics, P.a. Current Accepting new patients
Arkansas Anesthesia Associates, PLLC. Anesthesiology CurrentSince Jan 4, 2021 Accepting new patients

Locations

1425 Rock Springs Rd
Harrison, AR 72601
Phone (870) 741-1616

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1033384698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PD FLAT RD",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016259",
            "telephone_number": "870-404-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-6700",
            "fax_number": "870-508-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot# 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot# 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Main St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "72601",
            "country_code": "US",
            "telephone_number": "870-414-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRELL",
        "first_name": "ANDREA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "RATCHFORD",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.