NPIMap

Individual provider Active NPI

James C Wright, DO

  • Family Medicine Physician
  • Lake Village, AR
National Provider Identifier
1053390781
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4101 Issued in AR
Practice address
2918 Louis Sessions Street
Lake Village, AR 71653
Phone
(870) 265-5343
Fax
(870) 265-5686
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4101 AR Primary

Addresses

Primary practice location

2918 Louis Sessions Street
Lake Village, AR 71653

Mailing address

2918 Louis Sessions Street
Lake Village, AR 71653
Phone (870) 265-5343

Other identifiers 2

IdentifierTypeStateIssuer
00118692MedicaidMS
133753003MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060120000040 AR Practitioner - Family Practice 6103840947 Reassigns benefits to 2 organizations
I20070228000544 MS Practitioner - Family Practice 6103840947 Reassigns benefits to 1 organization
Practice locations: Greenville, MS

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Village Clinic PAGroup PAC ID 3274575162, 8 clinicians

Practice addresses (Care Compare)

2918 Louis Sessions
Lake Village, AR 71653-6049

2918 Louis Sessions St
Lake Village, AR 71653-6049
Phone (870) 265-5343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4101ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group Family Medicine CurrentSince Oct 26, 1999 Accepting new patients
Lake Village Clinic PA CurrentSince Oct 1, 1999 Accepting new patients
Chicot Memorial Hospital Past Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

2918 Louis Sessions St
Lake Village, AR 71653
Phone (870) 265-5343

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

300 S Washington Ave
Greenville, MS 38701
Phone (662) 378-2020

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

Interoperability endpoints

  • Direct secure messaging: james.wright@lvcp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCAAA/Endpoint/HCCAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCAAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southeast Rehabilitation HospitalLake Village, AR, CCN 043034 Hospital 5% Or Greater Direct Ownership Interest Nov 1, 2006
Southeast Rural Health ClinicLake Village, AR, CCN 048523 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Southeast Rehab LLC

    dba Southeast Rural Health Clinic

    • Rural Health Clinic/Center
    • Lake Village, AR
    • NPI 1194358523

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Southeast Rehab LLC

    dba Southeast Rehabilitation Hospital

    • Rehabilitation Hospital
    • Lake Village, AR
    • NPI 1700959905

    5% Or Greater Direct Ownership Interest

    CMS ownership

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1053390781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 LOUIS SESSIONS STREET",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5343",
            "fax_number": "870-265-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 LOUIS SESSIONS STREET",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5343",
            "fax_number": "870-265-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118692",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133753003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Village, AR

Sources for this page

Verify at the official NPI Registry.