James Kenton Riddle, MD
Individual provider Active NPI Internal Medicine Physician · Jonesboro, AR
NPI 1306309059 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1306309059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E-15452 (AR)
- Practice address
- 300 Carson St
Jonesboro, AR 72401-3104 - Phone
- (870) 910-7799
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Hospital Inc.
Lawrence Memorial Health Foundation Inc
Lawrence Memorial Hospital
Five Rivers Medical Center Inc
Practice addresses (Care Compare)
1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 932-0440
1309 W Main St
Walnut Ridge, AR 72476-1430
225 E Washington Ave
Jonesboro, AR 72401-3111
2801 Medical Ctr Dr
Pocahontas, AR 72455
2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6204
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198
Hospital & facility affiliations
- St Bernards Medical Center
- St Bernards Five Rivers Medical Center
- Crossridge Community Hospital
- Lawrence Memorial Hospital
- Great River Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220823002073 | AR | Practitioner - Internal Medicine | 7113300203 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Rivers Medical Center | Current |
Accepting new patients | |
| Five Rivers Medical Center Inc. | Current |
Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Lawrence Memorial Health Foundation Inc. | Current |
Accepting new patients | |
| St Bernards Hospital Inc. | Current |
Accepting new patients | |
| Lawrence Memorial Health Foundation Inc. | Current |
Accepting new patients | |
| Five Rivers Medical Center Inc. | Current | Accepting new patients |
Locations
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000
1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200
Interoperability endpoints
- jamesriddle@sbpc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-15452 | AR | Yes |
Addresses
Primary practice location
300 Carson St
Jonesboro, AR 72401-3104
Mailing address
300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 910-7799
Other providers in Jonesboro, AR
- Deann Richmond
- Danny Lee Ricker
- Kimberly Rickett
- Jessica Lynn Rickman
- Sandy Laverne Ricks
- Kristi Denise Ridge
- Guy Allen Riggins
- Paula Riggs
- Adam C Rigney
- Charles Thomas Rigsbee
All providers in Jonesboro, AR · Internal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.