Individual provider Active NPI

Jerri S Fant, MD

  • Surgery Physician
  • North Little Rock, AR
National Provider Identifier
1376539288
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E2749 Issued in AR
Practice address
3400 Springhill Drive
North Little Rock, AR 72117
Phone
(501) 906-3000
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E2749 AR Primary

Addresses

Primary practice location

3400 Springhill Drive
North Little Rock, AR 72117

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other practice location 1

3401 Springhill Dr
Suite 470
North Little Rock, AR 72117-2924
Phone (501) 955-9466

Other identifiers 1

IdentifierTypeStateIssuer
146285001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerri.fant@carti.OncoEMRDirect.com Direct

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
I20050627001262 AR Practitioner - Surgical Oncology 8527003805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

10411 W Markham St
Little Rock, AR 72205-1400
Phone (501) 906-3000

2500 Hwy 65 S
Clinton, AR 72031-6588
Phone (501) 906-3000

3400 Springhill Dr
North Little Rock, AR 72117-2923
Phone (501) 906-3000

8901 Carti Way
Little Rock, AR 72205-6323

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
90.37
Promoting interoperability
100
Improvement activities
40
Cost
73.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy153
Melanoma (skin cancer) excision1-10
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2749ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Feb 4, 2019 Accepting new patients
Breast Health Clinics of Arkansas PA Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Feb 4, 2019 Accepting new patients
Surgical Clinic, PA Past Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

9500 Kanis Rd
Ste 501
Little Rock, AR 72205
Phone (501) 217-2532

3400 Springhill Dr
North Little Rock, AR 72117
Phone (501) 603-8894

3401 Springhill Dr
Ste 470
North Little Rock, AR 72117
Phone (501) 955-9466

3320 Springhill Dr
Ste B
North Little Rock, AR 72117
Phone (501) 467-3930

Interoperability endpoints

  • Direct secure messaging: jerri.fant@carti.oncoemrdirect.com

Organizations & group practices 5

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 8

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1376539288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRINGHILL DRIVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72117",
            "telephone_number": "501-906-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Springhill Dr",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172924",
            "country_code": "US",
            "telephone_number": "501-955-9466",
            "fax_number": "501-955-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANT",
        "first_name": "JERRI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E2749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146285001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerri.fant@carti.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 Springhill Drive",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.