NPIMap

Individual provider Active NPI

Gerald Mark Heulitt, M.D.

  • Urology Physician
  • North Little Rock, AR
National Provider Identifier
1366739971
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
E-10438 Issued in AR
Practice address
4200 Stockton Dr
North Little Rock, AR 72117-2915
Phone
(501) 219-8900
NPI assigned
Jul 3, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X E-10438 AR Primary

Addresses

Primary practice location

4200 Stockton Dr
North Little Rock, AR 72117-2915

Mailing address

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170805000135 AR Practitioner - Urology 8224353552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Urology, P.a.Group PAC ID 4082502547, 39 clinicians

Practice addresses (Care Compare)

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900

1375 Superior Dr
Conway, AR 72032-7018
Phone (501) 219-8900

2504 W Main St
Suite a
Russellville, AR 72801-2536
Phone (501) 219-8900

4200 Stockton Dr
North Little Rock, AR 72117-2915
Phone (501) 410-1188

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10438ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Urology, P.a. Urology CurrentSince Aug 1, 2017 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

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

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1300 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1196

4200 Stockton Dr
North Little Rock, AR 72117
Phone (501) 945-2121

2504 W Main St
Ste A
Russellville, AR 72801
Phone (479) 964-3278

Interoperability endpoints

  • Direct secure messaging: gerald.heulitt.1@10448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366739971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-219-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 STOCKTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172915",
            "telephone_number": "501-219-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEULITT",
        "first_name": "GERALD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "E-10438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.