Individual provider Active NPI

James Mark Myers, MD

  • Surgery Physician
  • Russellville, AR
National Provider Identifier
1194788794
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C5125 Issued in AR
Practice address
1808 West Main St
Russellville, AR 72801
Phone
(479) 967-0799
Fax
(479) 967-0798
NPI assigned
Apr 7, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C5125 AR Primary

Addresses

Primary practice location

1808 West Main St
Russellville, AR 72801

Mailing address

920 Hilltop
Russellville, AR 72802
Phone (479) 967-0799

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000032 AR Practitioner - General Surgery 6305988734 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5125ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Sep 9, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Nov 1, 2016 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Nov 1, 2016 Accepting new patients

Locations

605 Dave Ward Dr
Conway, AR 72034
Phone (501) 205-7910

605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

Interoperability endpoints

  • Direct secure messaging: jmyers@direct-address.org

Organizations & group practices 4

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194788794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HILLTOP",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72802",
            "telephone_number": "479-967-0799",
            "fax_number": "479-967-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WEST MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-967-0799",
            "fax_number": "479-967-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C5125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.