Active NPI
Veracity Onsite LLC
- Family Medicine Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VERACITY ONSITE LLC
- Practice address
- 811 N B St
Fort Smith, AR 72901-2129 - Phone
- (479) 480-4850
- NPI assigned
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda J Mishur
- Title
- Coo
- Phone
- (773) 704-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
811 N B St
Fort Smith, AR 72901-2129
Mailing address
1701 Barrett Lakes Blvd NW
Kennesaw, GA 30144-4582
Phone (773) 704-7002
Other practice location 1
900 Dallis St Ste D
LaGrange, GA 30240-4401
Phone (706) 298-4914
Other practice location 2
720 N. 49th Street
Room 115A-E
Fort Smith, AR 72903
Phone (479) 788-7444
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2299655 | Veracity Onsite - Fort Smith | Certificate of waiver | Feb 22, 2028 |
| 04D2309567 | Veracity Onsite - Uafs | Certificate of waiver | Aug 18, 2026 |
| 11D2032996 | Veracity Onsite -Troup County | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
1701 Barrett Lakes Blvd NW
Kennesaw, GA 30144
900 Dallis St
Ste D
Lagrange, GA 30240
Phone (706) 298-4914
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1053308874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1285528182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 BARRETT LAKES BLVD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301444582",
"telephone_number": "773-704-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N B ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729012129",
"telephone_number": "479-480-4850"
}
],
"practiceLocations": [
{
"address_1": "900 Dallis St Ste D",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302404401",
"country_code": "US",
"telephone_number": "706-298-4914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 N. 49th Street",
"address_2": "Room 115A-E",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "72903",
"country_code": "US",
"telephone_number": "479-788-7444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VERACITY ONSITE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "MISHUR",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "773-704-7002"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.