Individual provider Active NPI

Jarrod Rodney Adkisson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1346293974
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
C-8412 Issued in AR
Practice address
6501 West 12TH. Street
Little Rock, AR 72204-1511
Phone
(501) 666-8686
Fax
(501) 660-6832
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C-8412 AR
Child & Adolescent Psychiatry Physician 2084P0804X C-8412 AR Primary

Addresses

Primary practice location

6501 West 12TH. Street
Little Rock, AR 72204-1511

Mailing address

P.O. Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

Other practice location 1

936 Jordan Dr
Monticello, AR 71655-5728
Phone (870) 460-0066

Other identifiers 4

IdentifierTypeStateIssuer
8168000000OtherARQUALCHOICE QCA
135993001MedicaidAR
7463260OtherARAETNA
BLUE CROSSOtherAR5L000

Other names 1

  • Jarrod R. Adkisson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Guidance Center, Inc Past Accepting new patients
Ozark Guidance Center, Inc PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1346293974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 WEST 12TH. STREET",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041511",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 Jordan Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716555728",
            "country_code": "US",
            "telephone_number": "870-460-0066",
            "fax_number": "870-460-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKISSON",
        "first_name": "JARROD",
        "middle_name": "RODNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C-8412",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "C-8412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE QCA",
            "identifier": "8168000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135993001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7463260",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5L000",
            "identifier": "BLUE CROSS",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARROD",
            "last_name": "ADKISSON",
            "middle_name": "R.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.