Ferguson Health Care Inc

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

C8428 Issued in AR

Legal business name

FERGUSON HEALTH CARE INC

Practice address

114 S Main St
Nashville, AR 71852-2406

Phone

(870) 845-0033

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clay Walt Ferguson, MDNPI 1518962968

Title

President

Phone

(870) 845-0033

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clay Walt Ferguson, MD

  • Family Medicine Physician
  • Nashville, AR
  • NPI 1518962968

  TX

  Medicare reassignment Care Compare group Authorized official
• Sunni Tollett, APRN

  • Family Nurse Practitioner
  • Nashville, AR
  • NPI 1205415791
  Medicare reassignment Care Compare group NPD
• Jessica Upchurch, NP

  • Family Nurse Practitioner
  • Maumelle, AR
  • NPI 1649720095

  TX

  Medicare reassignment NPD
• Amanda Michelle Ferguson, LPC

  • Professional Counselor
  • Nashville, AR
  • NPI 1457484628
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1386865442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718520522",
            "telephone_number": "870-845-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522406",
            "telephone_number": "870-845-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "WALT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-845-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "C8428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173735002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5F878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Evans
• Shannon Evans
• Denesha Ewings Hill
• Rachack Fagan
• Hannah Faulkner
• Amanda Michelle Ferguson, LPC
• Clay Walt Ferguson, MD
• Jennifer Suzanne Fincher, MHPP
• Deshala Flowers
• Mark Floyd, MD

• Hospice and Palliative Medicine (Family Medicine) Physician in Nashville, AR
• Providers in Nashville, AR by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.