Individual provider Active NPI

Gerren Hobby, M.D.

  • Nephrology Physician
  • Jonesboro, AR
National Provider Identifier
1346508470
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E11104 Issued in AR
Practice address
4802 E Johnson Ave
Jonesboro, AR 72401-6240
Phone
(870) 936-8000
Fax
(870) 934-3640
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E11104 AR Primary

Addresses

Primary practice location

4802 E Johnson Ave
Jonesboro, AR 72401-6240

Mailing address

PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000

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
I20180329000228 AR Practitioner - NephrologyPractitioner - Internal Medicine 6608138722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians

Practice addresses (Care Compare)

1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432

1500 McLain St
Newport, AR 72112-3638
Phone (870) 523-9337

2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250

3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000

3005 Middlefield Dr
Jonesboro, AR 72401-7438
Phone (870) 934-5705

4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000

4901 E Johnson Ave
Jonesboro, AR 72405-8417
Phone (870) 932-8222

51 Choctaw Trce
Cherokee Village, AR 72529-2702
Phone (870) 856-2862

516 Industrial Park Dr
Trumann, AR 72472-9602
Phone (870) 935-8388

527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 936-8000

Hospital & facility affiliations

  • Nea Baptist Clinic - Hilltop Dialysis facility, Jonesboro, AR, CCN 042588
  • Nea Baptist Clinic - Middlefield Dialysis facility, Jonesboro, AR, CCN 042577
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • Nea Baptist Memorial Hospital Inpatient rehabilitation facility, Jonesboro, AR, CCN 04T118

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E11104ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2019 Accepting new patients
California Renal Care Nephrology CurrentSince Mar 13, 2018 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

620 W Grove St
Ste 101
El Dorado, AR 71730
Phone (870) 862-0801

115 Wrights St
#B
Hot Springs National Park, AR 71913
Phone (501) 624-6000

115 Wrights St
Hot Springs National Park, AR 71913
Phone (501) 321-9803

115 Wrights St
#C
Hot Springs National Park, AR 71913
Phone (501) 321-9803

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

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

4909 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 336-3372

909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100

3005 Middlefield Dr
Jonesboro, AR 72401
Phone (870) 934-5102

Interoperability endpoints

  • Direct secure messaging: ghobby295840@direct.bmhcc.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 3

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1346508470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016240",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBY",
        "first_name": "GERREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E11104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.