Individual provider Active NPI

Jan Alexander, MD

  • Psychiatry Physician
  • North Little Rock, AR
National Provider Identifier
1265657274
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-5619 Issued in AR
Practice address
21 Bridgeway Rd
North Little Rock, AR 72113-9514
Phone
(501) 771-1500
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-5619 AR Primary

Addresses

Primary practice location

21 Bridgeway Rd
North Little Rock, AR 72113-9514

Mailing address

21 Bridgeway Rd
North Little Rock, AR 72113-9514
Phone (501) 771-1500

Other identifiers 1

IdentifierTypeStateIssuer
175958001MedicaidAR

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bridgeway LLC 6 clinicians
Arkansas Health Group 645 clinicians

Practice addresses (Care Compare)

21 Bridgeway Rd
N Little Rock, AR 72113-9514
Phone (501) 771-1500

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 487-6010

Hospital & facility affiliations

  • Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076

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
I20080916000667 AR Practitioner - Psychiatry 8820165806 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5619ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Psychiatry Current Accepting new patients
Arkansas Health Group CurrentSince Nov 9, 2020 Accepting new patients
Jan E Alexander MD PLLC Psychiatry CurrentSince Oct 1, 2010 Accepting new patients
Arkansas Health Group CurrentSince Nov 9, 2020 Accepting new patients
The Bridgeway, LLC CurrentSince Feb 25, 2022 Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1265657274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRIDGEWAY RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721139514",
            "telephone_number": "501-771-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRIDGEWAY RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721139514",
            "telephone_number": "501-771-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-5619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175958001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.