Individual provider Active NPI

Daron Merryman, MD

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1356347207
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3920 Issued in AR
Practice address
1000 E Matthews Ave
Suite B
Jonesboro, AR 72401-4307
Phone
(870) 336-4050
Fax
(870) 336-4059
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 E3920 AR Primary

Addresses

Primary practice location

1000 E Matthews Ave
Suite B
Jonesboro, AR 72401-4307

Mailing address

1000 E Matthews Ave
Suite B
Jonesboro, AR 72401-4307
Phone (870) 336-4050

Other identifiers 1

IdentifierTypeStateIssuer
154310001MedicaidAR

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
I20040428001528 AR Practitioner - Emergency Medicine 0648267898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians

Practice addresses (Care Compare)

1001 Schneider Dr
Malvern, AR 72104-4811
Phone (501) 337-4911

Hospital & facility affiliations

  • Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3920ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Mar 1, 2016 Accepting new patients
HCC of Warren LLC CurrentSince Apr 1, 2021 Accepting new patients
Baptist Medcare, Inc CurrentSince May 1, 2021 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Forrest City Emergency Physicians PLLC CurrentSince May 1, 2017 Accepting new patients
Forrest City Emergency Physicians, PLLC CurrentSince May 1, 2017 Accepting new patients
HCC of Warren Hospitalist LLC CurrentSince Apr 1, 2021 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
National Healthcare of Newport Inc Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

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

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 887-3000

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

311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 12

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 1

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1356347207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-336-4050",
            "fax_number": "870-336-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE",
            "address_2": "SUITE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014307",
            "telephone_number": "870-336-4050",
            "fax_number": "870-336-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRYMAN",
        "first_name": "DARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154310001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.