Active NPI
James Parks Tullis, MD
- Family Medicine Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-14862
- Practice address
- 1002 S 52ND St
Rogers, AR 72758-8610 - Phone
- (479) 338-3750
- Fax
- (479) 338-3799
- NPI assigned
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-14862 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | E-14862 | AR | Primary |
Addresses
Primary practice location
1002 S 52ND St
Rogers, AR 72758-8610
Mailing address
1002 S 52ND St
Rogers, AR 72758-8610
Phone (479) 338-3750
Other practice location 1
1125 N College Ave # Slot100
Fayetteville, AR 72703-1908
Phone (479) 713-8310
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1002 S 52ND St
Rogers, AR 72758-8610
Phone (479) 338-3705
Hospital & facility affiliations
- Mercy Home Health
- Northwest Home Health
- Elite Home Health
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Berryville
- Northwest Medical Center-Springdale
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14862 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
1002 S 52nd St
Rogers, AR 72758
Phone (479) 338-3722
Interoperability endpoints
- jtullis1028713@directc.mercy.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Orthopaedic Surgery Physician
- Rogers, AR
- NPI 1063835908
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springdale, AR
- NPI 1043557788
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- Home Health Agency
- Rogers, AR
- NPI 1942265160
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- Home Health Agency
- Springdale, AR
- NPI 1033161880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1083177141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588610",
"telephone_number": "479-338-3750",
"fax_number": "479-338-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588610",
"telephone_number": "479-338-3750",
"fax_number": "479-338-3799"
}
],
"practiceLocations": [
{
"address_1": "1125 N College Ave # Slot100",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031908",
"country_code": "US",
"telephone_number": "479-713-8310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TULLIS",
"first_name": "JAMES",
"middle_name": "PARKS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-07",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-14862",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-14862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.