Amanda Gail Smallmon, APRN, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A003277 Issued in AR

Practice address

180 S Thornton Ave
Piggott, AR 72454-2731

Phone

(870) 970-3180

Fax

(870) 201-9686

NPI assigned

Jul 30, 2009

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Selah HealthGroup PAC ID 5395130546, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piggott Community Hospital Hospital, Piggott, AR, CCN 041330

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda@selah.kareodirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

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.

• Selah Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Piggott, AR
  • NPI 1720734247

  Wound Care

  Medicare reassignment Care Compare group NPD Authorized official
• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185
  Medicare reassignment NPD
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  NPD
• Family Practice Clinic of Paragould

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1144299132
  NPD (past)
• Hendrix Medical Services PLLC

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1023157682
  NPD (past)

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

• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  Care Compare affiliation

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1447481072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S THORNTON AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542731",
            "telephone_number": "870-970-3180",
            "fax_number": "870-201-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S THORNTON AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542731",
            "telephone_number": "870-970-3180",
            "fax_number": "870-201-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLMON",
        "first_name": "AMANDA",
        "middle_name": "GAIL",
        "credential": "APRN, FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001008943",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000027580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27580",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022003488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A03277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003277",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AR",
            "license": "A003277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180257758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna F Ring, R.PH.
• Seal's Pharmacy
• Selah Health
• James G Sheridan, M.D.
• Richard Paul Slayton, MHPP
• Kathy Lee Spears, APRN
• State of Arkansas (Clay County Health Unit)
• Vidalia Stull, QBHP
• Superintendent of Piggott Public School District 52
• Alyssa Taylor, QBHP

• Psychiatric/Mental Health Nurse Practitioner in Piggott, AR
• Providers in Piggott, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.