Roger Lew Hiatt Jr., MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

N-8381 Issued in AR

Practice address

600 N 7TH St
West Memphis, AR 72301-3235

Phone

(870) 394-7100

Fax

(870) 394-7111

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, TN2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roger.hiatt.p1@direct.clchc.nextgenshare.com

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.

• Centers for Youth and Families, Inc.

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1174617526
  Medicare reassignment NPD
• Woodridge of West Tennessee, LLC

  • Psychiatric Hospital
  • Jackson, TN
  • NPI 1922409788
  Medicare reassignment NPD
• Centers for Youth and Families

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Monticell, AR
  • NPI 1841448966
  NPD (past)
• Centers for Youth and Families

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1972756716
  NPD (past)
• Woodridge Northeast, LLC

  • Psychiatric Residential Treatment Facility
  • West Memphis, AR
  • NPI 1134305436
  NPD (past)
• Woodridge of Tennessee, LLC

  • Psychiatric Residential Treatment Facility
  • Jackson, TN
  • NPI 1699926386
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1417082710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10047 BUSHROD CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179188",
            "telephone_number": "801-200-5050",
            "fax_number": "870-394-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013235",
            "telephone_number": "870-394-7100",
            "fax_number": "870-394-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041511",
            "country_code": "US",
            "telephone_number": "501-666-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIATT",
        "first_name": "ROGER",
        "middle_name": "LEW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "N-8381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130272001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearing Aid Group of Arkansas
• Cassidy L Hebert
• Wendy Hendrix
• Heritage Mobile Dental Care, PLLC
• Herman E. Hurd, DDS, II, PA
• Sarah Hicks
• Higginbotham Dental Group, PLLC
• Destiny Hope Higgins
• Jessica Hill, RN
• Andre Carlos Hitchcock

• Child & Adolescent Psychiatry Physician in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Child & Adolescent Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.