Active NPI
Mark Alan Smith, MD
- Internal Medicine Physician
- Sherwood, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E4293
- Practice address
- 100 Shadow Oaks Dr
Sherwood, AR 72120-6046 - Phone
- (501) 681-6181
- Fax
- (501) 983-4376
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E4293 | AR | Primary |
Addresses
Primary practice location
100 Shadow Oaks Dr
Sherwood, AR 72120-6046
Mailing address
5308 Ridge Rd
Jacksonville, AR 72076-8907
Phone (501) 681-6181
Other practice location 1
5308 Ridge Rd
Jacksonville, AR 72076-8907
Phone (501) 681-6181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155886001 | Medicaid | AR |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4293 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care 360 | Current | Accepting new patients | |
| Mark Smith | Internal Medicine | Past | Accepting new patients |
| Physicians Network Inc Dba Cabot Medical Clinic | Past | Accepting new patients | |
| Arkansas Central Primary Care, PLLC | Past | Accepting new patients | |
| Physicians Network Inc. | Internal Medicine | Past | Accepting new patients |
Locations
100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva | Hospice | Contracted Managing Employee | Feb 1, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1750382750
Contracted Managing Employee
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Sherwood, AR
- NPI 1124678586
-
- Family Medicine Physician
- Jacksonville, AR
- NPI 1396996740
-
- Internal Medicine Physician
- Jacksonville, AR
- NPI 1255284758
-
- Family Medicine Physician
- Cabot, AR
- NPI 1629032289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1174529887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 RIDGE RD",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720768907",
"telephone_number": "501-681-6181",
"fax_number": "501-983-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SHADOW OAKS DR",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721206046",
"telephone_number": "501-681-6181",
"fax_number": "501-983-4376"
}
],
"practiceLocations": [
{
"address_1": "5308 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AR",
"postal_code": "720768907",
"country_code": "US",
"telephone_number": "501-681-6181",
"fax_number": "501-983-4376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-08-09",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E4293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155886001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.