NPIMap

Individual provider Active NPI

John Robert Prince, MD

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1255437539
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-0769 Issued in AR
Practice address
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone
(501) 552-3000
Fax
(214) 712-2487
NPI assigned
Sep 15, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-0769 AR Primary

Addresses

Primary practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Mailing address

1716 Beechwood St
Little Rock, AR 72207-5432
Phone (501) 265-0035

Other identifiers 3

IdentifierTypeStateIssuer
129935001MedicaidAR
5K235OtherARBLUE CROSS
930055436OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000479 AR Practitioner - Emergency MedicinePractitioner - Family Practice 8224131974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 380-1010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health - Newport CurrentSince Mar 24, 2024 Accepting new patients
Unity Health - Jacksonville CurrentSince Jan 20, 2024 Accepting new patients
Unity Health - Jacksonville Emergency Medicine CurrentSince Jan 20, 2024 Accepting new patients
Unity Health - Newport CurrentSince Mar 24, 2024 Accepting new patients
Dr B. E. Holmes PA Past Accepting new patients
Sherwood Urgent Care Past Accepting new patients
Petite Roche Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172

1117 McLain St
Ste 500
Newport, AR 72112
Phone (870) 523-6464

1205 McLain St
Newport, AR 72112
Phone (870) 512-3441

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

Organizations & group practices 8

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1255437539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BEECHWOOD ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075432",
            "telephone_number": "501-265-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055423",
            "telephone_number": "501-552-3000",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-0769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129935001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5K235",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930055436",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.