Individual provider Active NPI

James Roy Atkins Jr., MD

  • Pediatrics Physician
  • Monticello, AR
National Provider Identifier
1285977843
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E9486 Issued in AR
Practice address
702 H L Ross Dr
Monticello, AR 71655-5705
Phone
(870) 276-6966
Fax
(870) 276-6967
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E9486 AR Primary

Addresses

Primary practice location

702 H L Ross Dr
Monticello, AR 71655-5705

Mailing address

702 H L Ross Dr
Monticello, AR 71655-5705
Phone (870) 276-6966

Other identifiers 1

IdentifierTypeStateIssuer
217712001MedicaidAR

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
I20161115000494 AR Practitioner - Pediatric Medicine 4688993389

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9486ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seark Children'S Clinic, PLLC Pediatrics CurrentSince Jun 25, 2023 Accepting new patients
Arkansas Children'S Medical Group PLLC Pediatrics Past Accepting new patients

Locations

702 H L Ross Dr
Monticello, AR 71655
Phone (870) 276-6966

Interoperability endpoints

  • Direct secure messaging: james.atkins.1@26871.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1285977843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 H L ROSS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555705",
            "telephone_number": "870-276-6966",
            "fax_number": "870-276-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 H L ROSS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555705",
            "telephone_number": "870-276-6966",
            "fax_number": "870-276-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JAMES",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E9486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217712001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.