Individual provider Active NPI

Jemeca Denise Edwards, M.D.

  • Hospitalist Physician
  • Pine Bluff, AR
National Provider Identifier
1306059753
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-6587 Issued in AR
Practice address
1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone
(870) 541-8767
Fax
(870) 541-8761
NPI assigned
May 8, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-6587 AR
Hospitalist Physician 208M00000X E-6587 AR Primary

Addresses

Primary practice location

1600 W 40TH Ave
Pine Bluff, AR 71603-6301

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 609-2222

Other practice location 1

1 Mercy Ln
Suite 201
Hot Springs, AR 71913-6442
Phone (501) 609-2222

Other identifiers 1

IdentifierTypeStateIssuer
1844230001MedicaidAR

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
I20100730000234 AR Practitioner - Internal Medicine 3274666060 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-6587ARMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Surgical Hospital, LLC CurrentSince Apr 14, 2024 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Apr 14, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 1, 2011 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 1, 2011 Accepting new patients
Jefferson Hospital Association, Inc Current Accepting new patients
Southeast Arkansas Behavioral Healthcare System Inc CurrentSince May 1, 2018 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Southeast Arkansas Hospitalists, LLP Hospitalist CurrentSince Dec 1, 2016 Accepting new patients
Forrest City Physician Services, PLLC Hospitalist CurrentSince Aug 29, 2023 Accepting new patients
General Emergency Physicians, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

1201 Military Rd
Ste 2
Benton, AR 72015

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

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

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

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

2500 Rike Dr
Pine Bluff, AR 71603
Phone (870) 534-1834

1600 W 40th Ave
Ste 3SW
Pine Bluff, AR 71603
Phone (870) 541-8767

Interoperability endpoints

  • Direct secure messaging: jedwards220237@direct.baptist-healthar.org

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1306059753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-609-2222",
            "fax_number": "501-321-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 40TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036301",
            "telephone_number": "870-541-8767",
            "fax_number": "870-541-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercy Ln",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136442",
            "country_code": "US",
            "telephone_number": "501-609-2222",
            "fax_number": "501-321-9689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEMECA",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-6587",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-6587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1844230001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.