Individual provider Active NPI

Jimmy D Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1285999029
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002929 Issued in AR
Practice address
4301 W Markham St # 722
Little Rock, AR 72205-7101
Phone
(501) 523-3233
Fax
(501) 603-1234
NPI assigned
Jul 9, 2012
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C002929 AR Primary

Addresses

Primary practice location

4301 W Markham St # 722
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

10915 N Rodney Parham Rd Ste F
Little Rock, AR 72212-4202
Phone (501) 686-6324

Other practice location 2

1 Childrens Way # 203
Little Rock, AR 72202-3500
Phone (501) 364-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000595 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052569746 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, shared by 3 NPIs, 44 clinicians
Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

6119 Midtown Ave
Suite 101
Little Rock, AR 72205-5316
Phone (501) 500-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Sep 5, 2012 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Jun 15, 2023 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 5, 2012 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Arkansas Children's Hospital CurrentSince Sep 5, 2012 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Jun 15, 2023 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Sep 5, 2012 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 6, 2023 Accepting new patients
Orthoarkansas, PA CurrentSince Feb 24, 2023 Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Orthoarkansas, PA CurrentSince Feb 24, 2023 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
#854
Little Rock, AR 72202

1 Childrens Way
Ste 653
Little Rock, AR 72202

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

10915 N Rodney Parham Rd
Ste F
Little Rock, AR 72212
Phone (501) 686-6324

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#722
Little Rock, AR 72205
Phone (501) 523-3233

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

6119 Midtown Ave
Ste 101
Little Rock, AR 72205
Phone (501) 404-8007

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1285999029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 722",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-523-3233",
            "fax_number": "501-603-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10915 N Rodney Parham Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124202",
            "country_code": "US",
            "telephone_number": "501-686-6324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Way # 203",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-3933",
            "fax_number": "501-364-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JIMMY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.