Individual provider Active NPI

James W Fletcher III, MD

  • Emergency Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1407880644
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q5403 Issued in TX
Practice address
1111 Windover
Jonesboro, AR 72401
Phone
(870) 336-3211
Fax
(870) 934-3680
NPI assigned
Jul 11, 2006
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q5403 TX Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X E-2431 AR

Addresses

Primary practice location

1111 Windover
Jonesboro, AR 72401

Mailing address

PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 336-3211

Other identifiers 1

IdentifierTypeStateIssuer
E-2431MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050808001263 AR Practitioner - Emergency Medicine 4284663493 Reassigns benefits to 7 organizations
I20080905000674 MO Practitioner - Family PracticePractitioner - Emergency Medicine 4284663493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, shared by 10 NPIs, 187 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, shared by 3 NPIs, 211 clinicians

Practice addresses (Care Compare)

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

1309 W Main St
Walnut Ridge, AR 72476-1430
Phone (870) 886-4105

1312 1St St
Kennett, MO 63857-2526
Phone (573) 559-2780

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 972-4100

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

4000 Linwood Dr
Paragould, AR 72450-7223
Phone (870) 240-8163

505 E Matthews
Suite 201
Jonestown, AR 72401-3144
Phone (870) 207-7250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue191
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
St Bernards Hospital Inc CurrentSince Dec 31, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
St Bernards Hospital Inc. CurrentSince Oct 3, 2016 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Feb 1, 2010 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St. Bernards Hospital, Inc CurrentSince Jun 17, 2017 Accepting new patients
BC&F Woundcare LLC CurrentSince Nov 28, 2021 Accepting new patients
Doctors Health Group, Inc CurrentSince May 23, 2018 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Feb 1, 2010 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Kennett Emergency Physicians Emergency Medicine Past Accepting new patients
Missouri Em-I Medical Services, PC Past Accepting new patients
Caddoes Emergency Physicians LLC Emergency Medicine PastSince Oct 8, 2007 Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

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

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

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

415 E Matthews Ave
Jonesboro, AR 72401

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

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1312 1st St
Kennett, MO 63857
Phone (573) 559-2780

1312 1st St
Ste B
Kennett, MO 63857
Phone (573) 559-2780

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1407880644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-336-3211",
            "fax_number": "870-934-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WINDOVER",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-336-3211",
            "fax_number": "870-934-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q5403",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "AR",
            "license": "E-2431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E-2431",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.