NPIMap

Individual provider Active NPI

Justin Allen, MD

  • Family Medicine Physician
  • Clinton, AR
National Provider Identifier
1083024848
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9606 Issued in AR
Practice address
465 Medical Center Parkway
Clinton, AR 72031-1529
Phone
(501) 745-7888
Fax
(877) 460-4576
NPI assigned
May 2, 2014
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Family Medicine Physician 207Q00000X E9606 AR Primary

Addresses

Primary practice location

465 Medical Center Parkway
Clinton, AR 72031-1529

Mailing address

PO Box 1060
Marshall, AR 72650-1060
Phone (501) 362-0500

Other practice location 1

223 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 972-0063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628001117 AR Practitioner - Family Practice 9537473285 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

465 Medical Ctr Pkwy
Clinton, AR 72031-2031
Phone (501) 745-7888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9606ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Boston Mountain Rural Health Center Inc CurrentSince Jun 26, 2023 Accepting new patients
Boston Mountain Rural Health Center Inc Current Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Baptist Health CurrentSince May 1, 2019 Accepting new patients
Boston Mountain Rural Health Center, Inc CurrentSince Jun 26, 2023 Accepting new patients
Boston Mountain Rural Health Center, Inc PastSince Jun 26, 2023 Accepting new patients

Locations

326 Southside Rd
Bee Branch, AR 72013
Phone (501) 654-2006

465 Medical Center Pkwy
Clinton, AR 72031
Phone (501) 745-7888

8544 Edgemont Rd
Greers Ferry, AR 72067
Phone (501) 825-6283

1415 Highway 25B
Ste 3
Heber Springs, AR 72543
Phone (501) 362-7538

934 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-5500

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Organizations & group practices 8

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 11

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1083024848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "501-362-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEDICAL CENTER PARKWAY",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720311529",
            "telephone_number": "501-745-7888",
            "fax_number": "877-460-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 E Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013119",
            "country_code": "US",
            "telephone_number": "870-972-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E9606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.