Julianna Mack, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

300 S Shackleford Rd
Little Rock, AR 72211-5725

Phone

(501) 918-0589

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bowen Hefley Rhodes Stewart Orthopedics, PAGroup PAC ID 3971580903, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bowen Hefley Rhodes Stewart Orthopedics, PA

  dba Bowen Hefley Orthopedics

  • Adult Reconstructive Orthopaedic Surgery Physician
  • North Little Rock, AR
  • NPI 1508877903
  Medicare reassignment Care Compare group NPD
• Arkansas Pain Care Clinics, PA

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
  • NPI 1467962118
  Medicare reassignment
• Bowen Hefley Rhodes Stewart Orthopedics, PA

  dba Bowen Hefley Orthopedics (Landers)

  • Orthopaedic Surgery Physician
  • North Little Rock, AR
  • NPI 1972825834
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Surgical Hospital, LLC

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1942260609
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1215736343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 RED ROCK RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105072",
            "telephone_number": "501-517-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115725",
            "telephone_number": "501-918-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JULIANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maci Scudder Therapy (Mindwave Therapy)
• Daylen Mack
• Delanie Mack
• Jada Blaise Mack
• Joana Marie Mack, M.D.
• Meredith Mack, LPC
• Carole Lee Mackey, APN
• Jasmine Mackey, LCSW
• Kaycee Danielle Mackey
• Lois N Mackie, OT

• Physician Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.