Individual provider Active NPI

Larry Herbert Lawrence, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1073521282
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-7943 Issued in AR
Practice address
3818 Friendly Hope Rd
Jonesboro, AR 72404-6989
Phone
(870) 910-5290
Fax
(870) 910-5290
NPI assigned
Aug 3, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 C-7943 AR Primary

Addresses

Primary practice location

3818 Friendly Hope Rd
Jonesboro, AR 72404-6989

Mailing address

3818 Friendly Hope Rd
Jonesboro, AR 72404-6989
Phone (870) 910-5290

Other identifiers 2

IdentifierTypeStateIssuer
118446001MedicaidAR
54354OtherARABCBS PROVIDER NUMBER

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
I20100317000520 AR Practitioner - Family Practice 3274668165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piggott Community HospitalGroup PAC ID 0345140448, shared by 8 NPIs, 10 clinicians

Practice addresses (Care Compare)

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-7943ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piggott Community Hospital Family Medicine CurrentSince Jan 22, 2010 Accepting new patients
Piggott Community Hospital CurrentSince Jan 22, 2010 Accepting new patients

Locations

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073521282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 FRIENDLY HOPE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046989",
            "telephone_number": "870-910-5290",
            "fax_number": "870-910-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 FRIENDLY HOPE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046989",
            "telephone_number": "870-910-5290",
            "fax_number": "870-910-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LARRY",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-7943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118446001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS PROVIDER NUMBER",
            "identifier": "54354",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.