Individual provider Active NPI

James Parks Tullis, MD

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1083177141
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-14862 Issued in AR
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

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913002935 AR Practitioner - Family PracticePractitioner - Internal Medicine 7911382825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

1002 S 52ND St
Rogers, AR 72758-8610
Phone (479) 338-3705

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rogers, AR, CCN 047149
  • Northwest Home Health Home health agency, Springdale, AR, CCN 047020
  • Elite Home Health Home health agency, Springdale, AR, CCN 047346
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Mercy Hospital Berryville Hospital, Berryville, AR, CCN 041329
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14862ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 29, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 29, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.