Organization Active NPI

William J. Helms, MD PA

  • Specialist
  • Russellville, AR
National Provider Identifier
1104049048
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C8266 Issued in AR
Legal business name
WILLIAM J. HELMS, MD PA
Practice address
2210 W Main St
Russellville, AR 72801-2760
Phone
(479) 968-8940
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Marcus Glover
Title
Credentialing Coordinator
Phone
(214) 420-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C8266 AR Primary

Addresses

Primary practice location

2210 W Main St
Russellville, AR 72801-2760

Mailing address

PO Box 845605
Dallas, TX 75284-5605
Phone (479) 968-8940

Other identifiers 1

IdentifierTypeStateIssuer
134886002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602001278 AR Part B Supplier - Clinic/Group Practice 9234538828 Receives reassigned benefits from 3 practitioners
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory

Locations

2210 W Main St
Russellville, AR 72801
Phone (479) 890-4327

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1104049048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845605",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845605",
            "telephone_number": "479-968-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012760",
            "telephone_number": "479-968-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. HELMS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "214-420-0650"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134886002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.