Individual provider Active NPI

Mary Elizabeth Madill, P.A.

  • Physician Assistant
  • Searcy, AR
National Provider Identifier
1366636821
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
901 E Beebe Capps Expy
Searcy, AR 72143-6865
Phone
(501) 203-0801
Fax
(501) 203-0802
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

901 E Beebe Capps Expy
Searcy, AR 72143-6865

Mailing address

38 Westgate St
Searcy, AR 72143-4915
Phone (501) 593-0921

Other practice location 1

719 Detroit Street
Danville, AR 72833-0639
Phone (479) 495-2241

Other practice location 2

705 Santa Fe Dr
Searcy, AR 72143-6964
Phone (501) 268-3853

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
960AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John Richard Duke Sr MD PLLC Dba Duke Medical PastSince Sep 1, 2024 Accepting new patients

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1366636821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WESTGATE ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434915",
            "telephone_number": "501-593-0921",
            "fax_number": "479-495-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436865",
            "telephone_number": "501-203-0801",
            "fax_number": "501-203-0802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Detroit Street",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "AR",
            "postal_code": "728330639",
            "country_code": "US",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721436964",
            "country_code": "US",
            "telephone_number": "501-268-3853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADILL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.