NPIMap

Organization Active NPI

Wound Logix LLC

  • Wound Care Registered Nurse
  • Searcy, AR
National Provider Identifier
1063236750
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
WOUND LOGIX LLC
Practice address
120 W Race Ave Ste 9
Searcy, AR 72143-4237
Phone
(501) 480-1110
Fax
(501) 480-1005
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Megan BallardNPI 1861176968
Title
General Manager
Phone
(501) 207-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X Primary

Addresses

Primary practice location

120 W Race Ave Ste 9
Searcy, AR 72143-4237

Mailing address

4928 Highway 367 N
Bradford, AR 72020-9714
Phone (250) 120-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212003783 AR Part B Supplier - Clinic/Group Practice 2264968270 Receives reassigned benefits from 7 practitioners
Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

120 W Race Ave
Ste 9
Searcy, AR 72143
Phone (501) 290-2400

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1063236750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 HIGHWAY 367 N",
            "city": "BRADFORD",
            "state": "AR",
            "postal_code": "720209714",
            "telephone_number": "250-120-7102",
            "fax_number": "350-150-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W RACE AVE STE 9",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434237",
            "telephone_number": "501-480-1110",
            "fax_number": "501-480-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND LOGIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "501-207-1022"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.