White County Medical Center
Organization Active NPI Family Medicine Physician · Newport, AR
NPI 1093475469 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1093475469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WHITE COUNTY MEDICAL CENTER
- Practice address
- 1200 McLain St Ste B
Newport, AR 72112-3550 - Phone
- (870) 523-2320
- Fax
- (870) 523-7563
- NPI assigned
- Dec 27, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- WHITE COUNTY MEDICAL CENTER
Authorized official
- Name
- Stuart Randall Hill
- Title
- VP/Treasurer
- Phone
- (501) 380-1004
Other NPIs on the same Medicare enrollment 22
Corporate family (same tax ID) 17
Related certifications (CCN) 3
Practitioners 2
-
Logan Bevill, MD
-
Neil A Tracy, M.D.
Affiliated clinicians 311
-
Tarek Abuelem, M.D.
-
Yuba Raj Acharya, M.D.
-
Brittany Lynn Allen, APRN
-
John M Allen, M.D
-
Julie Allen, APRN, FNP-BC
-
Melissa L. Alumbaugh, APN
-
Jennifer Lynne Arnold, APRN
-
William Thomas Atchley, MD, PHD
-
Anil Kumar Badhwar, M.D
-
Alex Wade Baker, PA-C
-
Megan Elizabeth Ballard, MSN, APRN, FNP-BC
-
Darci J Barber, CRNA
-
Michael Greggory Barden, M.D,
-
Lindsay Maureen Beacham, APRN
-
Adam Berry, D.O.
-
Logan Bevill, MD
-
Panna Bhattacharyya, M.D.
-
Brent M Blakely, M.D.
-
Jennifer Blaney, NP
Medicare Care Compare: Hospital
- Listed as
- White County Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2258558 | Unity Health Newport Family Practice | Certificate of waiver | Apr 21, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Hospital certification: CCN 040014
- Legal name
- WHITE COUNTY MEDICAL CENTER
- Doing business as
- UNITY HEALTH - WHITE COUNTY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Nov 16, 2023
- Beds
- 571
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Nov 1, 2005 (4 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 3214 E Race Ave
Searcy, AR 72143-4810 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Raymond W Montgomery II |
Other | Jun 1, 2020 | |
| Janet Hines |
Other |
Jun 1, 2020 | |
| Nathan Rutledge |
Other | Jun 1, 2020 | |
| Scott Rose |
Other | Jun 1, 2020 | |
| Ladonna Elizabeth Johnston |
Corporate Officer |
Jan 17, 2024 | 100% |
| W-2 Managing Employee |
Jan 17, 2024 | 100% | |
| Wesley Roberts |
Other | Dec 1, 2023 | |
| David L Hatfield |
Other |
Jun 1, 2024 | |
| Laura Gillenwater |
Corporate Officer |
Jun 25, 2025 | |
| Leah Miller |
Other |
Jun 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051201000281 | AR | Part a Provider - Hospital | 4880688654 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Searcy, AR; Newport, AR; Heber Springs, AR; Bradford, AR; Beebe, AR |
| O20130510000018 | AR | Part B Supplier - Clinic/Group Practice | 4880688654 |
Receives reassigned benefits from 176 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport, AR; Searcy, AR; Pocahontas, AR; New Port, AR; Heber Springs, AR; Clinton, AR; Cabot, AR; Bradford, AR… |
National Provider Directory
- Tax ID family
- White County Medical Ce
- Part of
- White County Medical Ce
Locations
1200 McLain St
Ste B
Newport, AR 72112
Phone (870) 523-2320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1200 McLain St Ste B
Newport, AR 72112-3550
Mailing address
1200 McLain St Ste B
Newport, AR 72112-3550
Phone (870) 523-2320
Other practice location 1
1200 McLain St Ste D
Newport, AR 72112-3550
Phone (870) 523-2320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279479002 | Medicaid | AR |
Other names
- Unity Health Newport Family Practice
Other providers in Newport, AR
- Patricia Watkins
- Lacey Gabrielle Wayland-Vaulner
- Sandra Welch
- Nathan West
- White County Medical Center
- White County Medical Center
- White County Medical Center
- White County Medical Center
- White County Medical Center
- White County Medical Center
All providers in Newport, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.