Active NPI
Pioneer Medical Clinics PLLC
Doing business as Pioneer Medical Clinics
- Family Medicine Physician
- Piggott, AR
National Provider Identifier
1457013930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PIONEER MEDICAL CLINICS PLLC
- Doing business as
- Pioneer Medical Clinics
- Practice address
- 1311 E Main St
Piggott, AR 72454-9400 - Phone
- (901) 603-6113
- NPI assigned
- Oct 12, 2021
- Last updated
- Oct 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery B Copeland, MD
- Title
- Owner
- Phone
- (901) 603-6113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1311 E Main St
Piggott, AR 72454-9400
Mailing address
1311 E Main St
Piggott, AR 72454-9400
Phone (901) 603-6113
Other names 1
- Pioneer Medical Clinics
National Provider Directory
National Provider DirectoryLocations
1311 E Main St
Piggott, AR 72454
Phone (870) 857-3334
614 South Byp
Kennett, MO 63857
Phone (573) 217-8669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633996800000",
"number": "1457013930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 E MAIN ST",
"city": "PIGGOTT",
"state": "AR",
"postal_code": "724549400",
"telephone_number": "901-603-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 E MAIN ST",
"city": "PIGGOTT",
"state": "AR",
"postal_code": "724549400",
"telephone_number": "901-603-6113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER MEDICAL CLINICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-603-6113",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneer Medical Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Piggott, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.