Individual provider Active NPI

Ronald E South, M.D.

  • Neurology Physician
  • Jonesboro, AR
National Provider Identifier
1457314577
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E0706 Issued in AR
Practice address
1107 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4315
Phone
(870) 931-4442
Fax
(870) 931-4707
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E0706 AR Primary

Addresses

Primary practice location

1107 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4315

Mailing address

1107 E Matthews Ave
Suite 200
Jonesboro, AR 72401-4315
Phone (870) 931-4442

Other identifiers 2

IdentifierTypeStateIssuer
143512002MedicaidAR
134615001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000261 AR Practitioner - Neurology 8123175908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Methodist Hospital CorporationGroup PAC ID 6608780119, 33 clinicians

Practice addresses (Care Compare)

1000 W Kingshighway
Paragould, AR 72450-4197

4000 Linwood Dr
Suite I
Paragould, AR 72450-7224
Phone (870) 205-2125

Hospital & facility affiliations

  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0706ARMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Methodist Hospital Corporation CurrentSince May 29, 2023 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jul 1, 1998 Accepting new patients
St Bernards Hospital Inc CurrentSince Jul 1, 1998 Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

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

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

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1300 W Court St
Paragould, AR 72450
Phone (870) 236-4100

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

Organizations & group practices 4

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.

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1457314577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-931-4442",
            "fax_number": "870-931-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-931-4442",
            "fax_number": "870-931-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E0706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143512002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134615001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.