Neurology Clinic of South Arkansas,PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROLOGY CLINIC OF SOUTH ARKANSAS,PA

Practice address

7500 Dollarway Rd Ste 403
White Hall, AR 71602-3083

Phone

(870) 247-6160

Fax

(870) 247-6167

NPI assigned

Jul 29, 2006

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ghulam Khaleel, MDNPI 1669486007

Title

Director

Phone

(870) 863-3373

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Ghulam Mohammed Khaleel, MD

  • Clinical Neurophysiology Physician
  • White Hall, AR
  • NPI 1669486007
  Medicare reassignment Care Compare group NPD Authorized official
• Khalid Rayaz, M.D

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1023107935
  Medicare reassignment Care Compare group NPD
• Yulander Gailey, APRN

  • Nurse Practitioner
  • White Hall, AR
  • NPI 1265735922
  Medicare reassignment NPD
• Lesia Pratt, AGPCNP

  • Adult Health Nurse Practitioner
  • Sheridan, AR
  • NPI 1740756659
  Medicare reassignment NPD
• Hayley Leighann Rosnermanz, NP

  • Family Nurse Practitioner
  • Conway, AR
  • NPI 1619547478
  Medicare reassignment NPD
• Kanisher Caldwell, APRN

  • Primary Care Nurse Practitioner
  • White Hall, AR
  • NPI 1821440116
  NPD
• Merkessie Redix

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1922491307
  NPD
• Namrah Ali

  • Internal Medicine Physician
  • Maumelle, AR
  • NPI 1144809138
  NPD (past)
• Theresa Ann Lybrand, APN

  • Family Nurse Practitioner
  • White Hall, AR
  • NPI 1659663250
  NPD (past)
• Rose A Pace, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1861457988
  NPD (past)
• Chizoba Usuwa, MD

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1689191108
  NPD (past)
• Shailesh C Vora, M. D.

  • Psychiatry Physician
  • Southlake, TX
  • NPI 1902878473
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1124032560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 403",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023083",
            "telephone_number": "870-247-6160",
            "fax_number": "870-247-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 403",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023083",
            "telephone_number": "870-247-6160",
            "fax_number": "870-247-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC OF SOUTH ARKANSAS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "KHALEEL",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-863-3373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Montgomery, PLMSW
• Consuela Tortorich Morris, M.S.
• Shatobeca Moutry
• Dejah Murray, PLMSW
• Veronica Lynn Nelson, COUNSELOR
• Glynn Nooner, LPC
• Amanda Norton, MHPP
• Olivia M Fisher DC
• Out of Knowhere PLLC
• Baylor Owen

• Neurological Surgery Physician in White Hall, AR
• Providers in White Hall, AR by specialty
• Neurological Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.