NPIMap

Individual provider Active NPI

Emmanuel Macdonald, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Jonesboro, AR
National Provider Identifier
1407389208
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone
(870) 972-0063
NPI assigned
Apr 7, 2017
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR Primary

Addresses

Primary practice location

311 E Matthews Ave
Jonesboro, AR 72401-3125

Mailing address

2 Abbey LN
Apt 102
Delray Beach, FL 33446-1607
Phone (561) 350-5064

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
I20200421002752 AR Practitioner - Family Practice 3577833300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians
Five Rivers Medical Center IncGroup PAC ID 1456540194, 37 clinicians
St Bernard Community Hospital CorporationGroup PAC ID 7810897485, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401-3111

2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone 87089260006200

300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198

310 Falls Blvd S
Wynne, AR 72396-3013
Phone (870) 238-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.73 of 100Reported as individual
Quality
30
Improvement activities
40
Cost
52.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Medical Center Inc. CurrentSince Oct 1, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince May 20, 2020 Accepting new patients
St Bernards Hospital Inc Past Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

310 Falls Blvd S
Wynne, AR 72396
Phone (870) 208-2151

Organizations & group practices 6

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1407389208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ABBEY LN",
            "address_2": "APT 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461607",
            "telephone_number": "561-350-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013125",
            "telephone_number": "870-972-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.