Individual provider Active NPI

John Joseph Head, PA-C

  • Physician Assistant
  • Little Rock, AR
National Provider Identifier
1073080255
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-816 Issued in AR
Practice address
4301 W Markham St # 721-2
Little Rock, AR 72205-7101
Phone
(501) 686-8000
Fax
(501) 526-5148
NPI assigned
Oct 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-816 AR Primary

Addresses

Primary practice location

4301 W Markham St # 721-2
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 500-3500

Other practice location 2

5320 W Markham St
Little Rock, AR 72205-3528
Phone (501) 975-5633

Other practice location 3

801 Cottage Dr
Little Rock, AR 72205-5400
Phone (501) 686-8818

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131000273 AR Practitioner - Physician Assistant 1658618541 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-816ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA CurrentSince Jan 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 21, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2025 Accepting new patients
Arkansas Childrens Hospital CurrentSince May 21, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2025 Accepting new patients
Martin Knee and Sports Medicine Center, PA CurrentSince Aug 16, 2021 Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

801 Cottage Dr
Little Rock, AR 72205
Phone (501) 686-8674

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

5320 W Markham St
Little Rock, AR 72205
Phone (501) 975-5633

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

4301 W Markham St
#7212
Little Rock, AR 72205

Organizations & group practices 10

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1073080255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 721-2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Fair Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041720",
            "country_code": "US",
            "telephone_number": "501-500-3500",
            "fax_number": "501-777-3519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053528",
            "country_code": "US",
            "telephone_number": "501-975-5633",
            "fax_number": "501-227-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Cottage Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055400",
            "country_code": "US",
            "telephone_number": "501-686-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAD",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.