Individual provider Active NPI

John B Simpson, M.D.

  • Family Medicine Physician
  • Sheridan, AR
National Provider Identifier
1356320832
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-4644 Issued in AR
Practice address
651 Heritage Dr
Sheridan, AR 72150
Phone
(870) 942-1301
Fax
(870) 942-1305
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 C-4644 AR Primary

Addresses

Primary practice location

651 Heritage Dr
Sheridan, AR 72150

Mailing address

651 Heritage Dr
Sheridan, AR 72150-5000
Phone (870) 942-1301

Other identifiers 2

IdentifierTypeStateIssuer
889909OtherARMEDICARE
102382001MedicaidAR

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
I20090119000088 AR Practitioner - Emergency Medicine 9537244777 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leo N Levi Memorial Hospital Association CurrentSince Mar 23, 2022 Accepting new patients
Family Medicine Clinic, P.a. Family Medicine PastSince Dec 1, 2024 Accepting new patients

Locations

300 Prospect Ave
Hot Springs National Park, AR 71901
Phone (501) 622-3454

Interoperability endpoints

  • Direct secure messaging: jsimpson124984@directb.mercy.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1356320832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HERITAGE DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721505000",
            "telephone_number": "870-942-1301",
            "fax_number": "870-942-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HERITAGE DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "72150",
            "telephone_number": "870-942-1301",
            "fax_number": "870-942-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-4644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "889909",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102382001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.