Individual provider Active NPI

Angela R Driskill, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • North Little Rock, AR
National Provider Identifier
1306870068
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
E-0539 Issued in AR
Practice address
3333 Springhill Dr Ste 2002
North Little Rock, AR 72117-2922
Phone
(501) 202-3638
Fax
(501) 202-3639
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-0539 AR
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X E-0539 AR Primary

Addresses

Primary practice location

3333 Springhill Dr Ste 2002
North Little Rock, AR 72117-2922

Mailing address

PO Box 15453
Little Rock, AR 72231-5453
Phone (501) 202-3638

Other identifiers 3

IdentifierTypeStateIssuer
128765001MedicaidAR
5J857OtherARAR BCBS
P00754987OtherARRAILROAD MEDICARE

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
I20031206000100 AR Practitioner - Undersea and Hyperbaric MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 4284539743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Family Practice
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

3201 Springhill Dr
Suite 300a
North Little Rock, AR 72117-2910
Phone (501) 753-4172

Hospital & facility affiliations

  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Ouachita County Medical Center Hospital, Camden, AR, CCN 040050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue297
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-0539ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Jul 1, 2019 Accepting new patients
Arkansas Health Group Undersea and Hyperbaric Medicine CurrentSince Jul 1, 2022 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients
Arkansas Hyperbaric Associates Past Accepting new patients

Locations

55 S Broadview St
#A
Greenbrier, AR 72058
Phone (501) 679-4030

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

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

3333 Springhill Dr
Ste 2002
North Little Rock, AR 72117
Phone (501) 202-3638

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

3201 Springhill Dr
Ste 30
North Little Rock, AR 72117
Phone (501) 753-4132

3201 Springhill Dr
Ste 300A
North Little Rock, AR 72117
Phone (501) 753-4172

Interoperability endpoints

  • Direct secure messaging: adriskill1099@direct.baptist-healthar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1306870068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15453",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315453",
            "telephone_number": "501-202-3638",
            "fax_number": "501-202-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SPRINGHILL DR STE 2002",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172922",
            "telephone_number": "501-202-3638",
            "fax_number": "501-202-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0539",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "E-0539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128765001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5J857",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00754987",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.