Organization Active NPI

Veracity Onsite LLC

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1285528182
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 5, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2299655Veracity Onsite - Fort Smith811 North B Street, Fort Smith, AR 72901Certificate of waiverFeb 22, 2028
04D2309567Veracity Onsite - Uafs720 N 49TH Street Room 105, Fort Smith, AR 72903Certificate of waiverAug 18, 2026
11D2032996Veracity Onsite -Troup County900 Dallis Street, Suite D, Lagrange, GA 30240Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.