Justin Kemp, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003727 Issued in AR

Practice address

5 Market PL
Paragould, AR 72450-3555

Phone

(870) 236-4001

Fax

(870) 236-4009

NPI assigned

Aug 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paragould Family Care, P. a.Group PAC ID 2860789286, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/arkmeth-8ac17722

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.

• Paragould Family Care, P. a.

  • Rural Health Clinic/Center
  • Paragould, AR
  • NPI 1467806836
  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Arkansas Methodist Hospital Corporation

  dba Arkansas Methodist Medical Center

  • General Acute Care Hospital
  • Paragould, AR
  • NPI 1437222312
  Care Compare affiliation

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1255688016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195270758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vonda Keasler
• Savannah Lee Keeling, LMSW
• Tera Keith
• Andrea Kellim, LPC
• Clarence Leonard Kemp, M.D.
• Karina Kennedy
• Kenneth F Rodgers MD PA
• Kevin R. Mann DDS, PA
• Kevin Ward, DDS, PA (Family Dental Associates)
• Larissa Kidd, LMT

• Family Nurse Practitioner in Paragould, AR
• Providers in Paragould, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.