Individual provider Active NPI

Janell Thompson Vinson, MD

  • Pediatrics Physician
  • Conway, AR
National Provider Identifier
1376758029
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2118 Issued in MS
Practice address
625 United Dr Ste 120
Conway, AR 72032
Phone
(501) 358-6892
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2118 MS Primary

Addresses

Primary practice location

625 United Dr Ste 120
Conway, AR 72032

Mailing address

1122 E Main St
Suite 6
Philadelphia, MS 39350-2348
Phone (601) 656-9900

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
I20180822002682 AR Practitioner - Pediatric Medicine 1951598150 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2118MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Sep 4, 2018 Accepting new patients
Arkansas Health Group CurrentSince Sep 4, 2018 Accepting new patients
Neshoba County General Hospital Pediatrics Past Accepting new patients
Arkansas Health Group Past Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

625 United Dr
Ste 120
Conway, AR 72032
Phone (501) 358-6720

625 United Dr
Ste 410
Conway, AR 72032
Phone (501) 358-6892

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

Interoperability endpoints

  • Direct secure messaging: janell.vinson.1@1475.direct.athenahealth.com
  • Direct secure messaging: jvinson200948@direct.baptist-healthar.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1376758029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E MAIN ST",
            "address_2": "SUITE 6",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502348",
            "telephone_number": "601-656-9900",
            "fax_number": "601-656-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 UNITED DR STE 120",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-358-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "JANELL",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.