NPIMap

Organization Active NPI

White County Medical Center

Doing business as Unity Health Newport Family Practice

  • Family Medicine Physician
  • Newport, AR
National Provider Identifier
1093475469
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE COUNTY MEDICAL CENTER
Doing business as
Unity Health Newport Family Practice
Practice address
1200 McLain St Ste B
Newport, AR 72112-3550
Phone
(870) 523-2320
Fax
(870) 523-7563
NPI assigned
Dec 27, 2021
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Stuart Randall Hill
Title
VP/Treasurer
Phone
(501) 380-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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 names 1

  • Unity Health Newport Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093475469. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
3214 E Race Ave
Searcy, AR 72143-4810
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
White County Medical CenterCCN 040014 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2258558Unity Health Newport Family Practice1200 McLain Street, Suite B, Newport, AR 72112Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
White County Medical Ce19 organizations share this tax ID, including this one
Part of
White County Medical Ce

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raymond W Montgomery II Individual Other Jun 1, 2020
Janet Hines Individual OtherChairman Jun 1, 2020
Nathan Rutledge Individual Other Jun 1, 2020
Scott Rose Individual Other Jun 1, 2020
Ladonna Elizabeth Johnston Individual Corporate OfficerPresident/Ceo Jan 17, 2024 100%
W-2 Managing EmployeePresident/Ceo Jan 17, 2024 100%
Wesley Roberts Individual Other Dec 1, 2023
David L Hatfield Individual OtherBoard Member Jun 1, 2024
Laura Gillenwater Individual Corporate OfficerVP Treasurer Jun 25, 2025
Leah Miller Individual OtherVice Chairman Jun 1, 2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 311

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1093475469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE B",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-523-2320",
            "fax_number": "870-523-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE B",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-523-2320",
            "fax_number": "870-523-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 McLain St Ste D",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123550",
            "country_code": "US",
            "telephone_number": "870-523-2320",
            "fax_number": "870-523-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE COUNTY MEDICAL CENTER",
        "enumeration_date": "2021-12-27",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "VP/TREASURER",
        "authorized_official_telephone_number": "501-380-1004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Newport Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Health Newport Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.