Individual provider Active NPI

Jamie C Irwin, DO

  • Pediatrics Physician
  • Hot Springs, AR
National Provider Identifier
1043413909
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E5512 Issued in AR
Practice address
225 McAuley CT
Hot Springs, AR 71913-6314
Phone
(501) 321-2546
Fax
(501) 321-1838
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E5512 AR Primary

Addresses

Primary practice location

225 McAuley CT
Hot Springs, AR 71913-6314

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 767-9111

Other identifiers 1

IdentifierTypeStateIssuer
168836003MedicaidAR

Other names 1

  • Jamie Charlene Hearne 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
I20130201000324 AR Practitioner - Pediatric Medicine 5395999189 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5512ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Clinics LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

5 Medical Park Dr
Ste 203
Benton, AR 72015
Phone (501) 315-7620

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

Interoperability endpoints

  • Direct secure messaging: jirwin214841@directb.mercy.net
  • Direct secure messaging: jamie.irwin.1@16686.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1043413909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-767-9111",
            "fax_number": "501-767-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136314",
            "telephone_number": "501-321-2546",
            "fax_number": "501-321-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "JAMIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168836003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HEARNE",
            "middle_name": "CHARLENE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.