Mitzi A Washington, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C-7762 Issued in AR

Practice address

400 S Main St
Suite 200
Searcy, AR 72143-6848

Phone

(501) 279-0502

Fax

(501) 279-0506

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Pediatric MedicineAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

JP Wornock MD PAGroup PAC ID 4587569777, 19 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• J.P. Wornock M.D. P.a.

  • Primary Care Clinic/Center
  • Searcy, AR
  • NPI 1316918576
  Medicare reassignment Care Compare group NPD
• J.P. Wornock M.D. P.a.

  • Urgent Care Clinic/Center
  • Searcy, AR
  • NPI 1588541569
  NPD
• Ben T Wilkins MD Inc

  • Pediatrics Physician
  • Searcy, AR
  • NPI 1639208382
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1114909124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437801",
            "telephone_number": "501-279-9000",
            "fax_number": "501-279-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436848",
            "telephone_number": "501-279-0502",
            "fax_number": "501-279-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MITZI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C-7762",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C-7762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "420066",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHIELD",
            "identifier": "53355",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "12098000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123525001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Warner IV, DPT
• Hannah J Warren
• Otha Wade Warren, OD
• Joseph Daniel Washington
• Macy Washington, APRN
• Robert Scott Waters
• Christina Watkins, PHARMD
• Samantha Watkins, MD
• Christy L Watson, LCSW
• Miah Lynn Watson

• Pediatrics Physician in Searcy, AR
• Providers in Searcy, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; 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.

Verify at the official NPI Registry.