Organization Active NPI

Pioneer Medical Clinics PLLC

Doing business as Pioneer Medical Clinics

  • Family Medicine Physician
  • Piggott, AR
National Provider Identifier
1457013930
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.