Jmac Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JMAC MEDICAL PLLC

Practice address

403 Morrow St N Ste F
Mena, AR 71953-4324

Phone

(479) 437-6080

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

James Robert McWilliams

Title

Owner

Phone

(479) 437-6080

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Stephanie Rostollan, FNP

  • Family Nurse Practitioner
  • Mena, AR
  • NPI 1770269631

  Family

  NPD

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1043965734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MORROW ST N STE F",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MORROW ST N STE F",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534324",
            "telephone_number": "479-437-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAC MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-437-6080"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Lynn Hughes
• Humberto J. Sosa, MD, PA
• Mark Hays Hurst, DDS
• Kyle Jewell
• Manda Jewell
• Charlenne Johnson, FNP-C
• Erin L. Johnson, PTA
• Jeffrey A. Jones, P.A.
• Lindy Kaye Jumper, APRN
• Alicia Kathleen Kalinowsky, PHARMD

• All providers in Mena, AR
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.