NPIMap

Individual provider Active NPI

Jessica Marie Snelgrove, MD

  • Family Medicine Physician
  • Southside, AR
National Provider Identifier
1336844992
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-20142 Issued in AR
Practice address
1217 Batesville Blvd
Southside, AR 72501-8912
Phone
(870) 262-2800
Fax
(870) 262-2815
NPI assigned
Apr 3, 2023
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-20142 AR Primary

Addresses

Primary practice location

1217 Batesville Blvd
Southside, AR 72501-8912

Mailing address

1217 Batesville Blvd
Southside, AR 72501-8912
Phone (870) 262-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514000100 AR Practitioner - Family Practice 4183193683 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

Practice addresses (Care Compare)

1217 Batesville Blvd
Southside, AR 72501-8912
Phone (870) 262-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-20142ARMDFamily Medicine Physician

Organizations & group practices 15

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 15

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1336844992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018912",
            "telephone_number": "870-262-2800",
            "fax_number": "870-262-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725018912",
            "telephone_number": "870-262-2800",
            "fax_number": "870-262-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELGROVE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-20142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AR

Sources for this page

Verify at the official NPI Registry.