Individual provider Active NPI

James Langston Cowan III, M.D.

  • Pediatric Adolescent Medicine Physician
  • West Memphis, AR
National Provider Identifier
1063597979
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD21143 Issued in TN
Practice address
900 N 7TH St
West Memphis, AR 72301-2001
Phone
(870) 735-3842
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD21143 TN Primary

Addresses

Primary practice location

900 N 7TH St
West Memphis, AR 72301-2001

Mailing address

900 N 7TH St
Suite 2
West Memphis, AR 72301-2001
Phone (901) 365-2555

Other identifiers 2

IdentifierTypeStateIssuer
3896594MedicaidTN
3125751OtherTNBC PROVIDER#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.cowan@eastarkan.eclinicaldirectplus.com

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
I20161123000232 AR Practitioner - Pediatric Medicine 7416236088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21143TNMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Oct 8, 2016 Accepting new patients
East Arkansas Family Health Center, Inc Current Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Oct 8, 2016 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Oct 8, 2016 Accepting new patients
Kids Care Medical Center Adolescent Medicine Past Accepting new patients

Locations

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

417 W Main St
Trumann, AR 72472
Phone (870) 483-1025

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

900 N 7th St
Ste 2
West Memphis, AR 72301

Interoperability endpoints

  • Direct secure messaging: james.cowan@eastarkan.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1063597979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "address_2": "SUITE 2",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "901-365-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "JAMES",
        "middle_name": "LANGSTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "MD21143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3896594",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER#",
            "identifier": "3125751",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.cowan@eastarkan.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 N 7th St",
            "city": "West Memphis",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723012001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.