Individual provider Active NPI

Matthew Robert Combs

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1174052690
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005172 Issued in AR
Practice address
4000 Linwood Dr Ste I
Paragould, AR 72450-7224
Phone
(870) 239-8102
NPI assigned
Jun 8, 2017
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005172 AR Primary

Addresses

Primary practice location

4000 Linwood Dr Ste I
Paragould, AR 72450-7224

Mailing address

1001 Summerhill Dr
Paragould, AR 72450-5563

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711001117 AR Practitioner - Nurse Practitioner 0648549428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Emergency Physicians, PLLC CurrentSince Mar 22, 2021 Accepting new patients
Sark Opl CurrentSince Sep 1, 2025 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince Mar 22, 2021 Accepting new patients
Aspire Medical PLLC Family Current Accepting new patients
East Arkansas Emergency Physicians, PLLC Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1507 Linwood Dr
Paragould, AR 72450
Phone (870) 239-8105

1507 Linwood Dr
#A
Paragould, AR 72450
Phone (870) 239-8102

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1174052690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SUMMERHILL DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR STE I",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507224",
            "telephone_number": "870-239-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.