Individual provider Active NPI

James Prentice Derossitt, M.D.

  • Obstetrics & Gynecology Physician
  • West Memphis, AR
National Provider Identifier
1356317507
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C5392 Issued in AR
Practice address
210 S Rhodes
West Memphis, AR 72301-1687
Phone
(870) 732-5448
Fax
(870) 732-1734
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C5392 AR Primary

Addresses

Primary practice location

210 S Rhodes
West Memphis, AR 72301-1687

Mailing address

PO Box 1687
West Memphis, AR 72303-1687
Phone (870) 732-5448

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
I20120126000785 AR Practitioner - Obstetrics/Gynecology 7719981331 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5392ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest City Clinic Company LLC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients

Locations

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

902 Holiday Dr
Ste 103
Forrest City, AR 72335
Phone (870) 630-9407

210 S Rhodes St
West Memphis, AR 72301
Phone (870) 732-5448

Interoperability endpoints

  • Direct secure messaging: jderossi@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356317507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723031687",
            "telephone_number": "870-732-5448",
            "fax_number": "870-732-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RHODES",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011687",
            "telephone_number": "870-732-5448",
            "fax_number": "870-732-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSSITT",
        "first_name": "JAMES",
        "middle_name": "PRENTICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.