Family Practice Clinic of Paragould

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE CLINIC OF PARAGOULD

Practice address

1015 W Kingshighway
Paragould, AR 72450-4142

Phone

(870) 239-4076

NPI assigned

Mar 14, 2006

Last updated

Aug 22, 2020By 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

Thomas Lynn Stickel

Title

Administrator

Phone

(870) 239-4076

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

Practitioners 10

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.

• Stanley Mark Foster, MSN APN FNP

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1801044300
  Medicare reassignment Care Compare group NPD
• Jake McMillon

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1467814137
  Medicare reassignment Care Compare group NPD
• Stacey W Noel, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1992781264
  Medicare reassignment Care Compare group NPD
• Bobby Aaron Thompson, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1720020662
  Medicare reassignment Care Compare group NPD
• Heather Jones, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1346769155
  Medicare reassignment NPD
• Ronette Wise, APN

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1750391082
  Medicare reassignment NPD
• Samuel Scott Burchfield, MD

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1124098587
  NPD (past)
• Barry Dewane Hendrix, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1558440180
  NPD (past)
• Amanda Gail Smallmon, APRN, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Piggott, AR
  • NPI 1447481072
  NPD (past)
• John Everett Wilson, MD

  • Family Medicine Physician
  • Walnut Ridge, AR
  • NPI 1831149764
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144299132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CLINIC OF PARAGOULD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STICKEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-239-4076"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Wayne Everett, LCSW, RPT, RIST
• Leah Dawn Everett, LPC
• Leslee Everett, PA
• Jayden Exum
• Families, Inc. of Arkansas (Families, Inc.)
• Shaylee Fann
• Sandra Farris
• Chase Farrish, QBHP
• Jordan Faulkner Lamb, LPC-S
• Sharla Felkins

• Family Medicine Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.