James G Sheridan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3095 Issued in AR

Practice address

425 W Jackson St
Piggott, AR 72454-1538

Phone

(870) 598-2236

Fax

(870) 598-3080

NPI assigned

Aug 3, 2006

Sex

Male

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 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CNNC, Inc

  • Skilled Nursing Facility
  • Corning, AR
  • NPI 1114354990

  Adp of the SNF

  CMS ownership
• RTNC, Inc

  • Skilled Nursing Facility
  • Rector, AR
  • NPI 1841627627

  Adp of the SNF

  CMS ownership

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.

• Doctors Health Group, Inc

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1225091176
  Medicare reassignment NPD
• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185

  Family Medicine

  Medicare reassignment NPD
• Doctors Health Group Inc

  • Rural Health Clinic/Center
  • Piggott, AR
  • NPI 1326059171

  Family Medicine

  NPD
• Doctors Health Group, Inc

  • Family Medicine Physician
  • Piggott, AR
  • NPI 1649061201
  NPD
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  NPD
• CNNC, Inc

  • Skilled Nursing Facility
  • Corning, AR
  • NPI 1114354990
  NPD (past)
• Campbell Healthcare & Senior Living, LLC

  • Skilled Nursing Facility
  • Campbell, MO
  • NPI 1598469199
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154339752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W JACKSON ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541538",
            "telephone_number": "870-598-2236",
            "fax_number": "870-598-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W JACKSON ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541538",
            "telephone_number": "870-598-2236",
            "fax_number": "870-598-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R3095",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8C74",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201661709",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101514001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitley Reagans
• Mandy Denise Rebstock, PHARMD
• Donna F Ring, R.PH.
• Seal'S Pharmacy
• Selah Health
• Richard Paul Slayton, MHPP
• Amanda Gail Smallmon, APRN, FNP, PMHNP-BC
• Kathy Lee Spears, APRN
• State of Arkansas
• Vidalia Stull, QBHP

• Family Medicine Physician in Piggott, AR
• Providers in Piggott, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.