Active NPI
Ronald E South, M.D.
- Neurology Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E0706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143512002 | Medicaid | AR | |
| 134615001 | Medicaid | AR |
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
Enrollment records 1
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
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
- St Bernards Medical Center
- Baptist Memorial Hospital Jonesboro, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0706 | AR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Methodist Hospital Corporation | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| St Bernards Hospital Inc | Current | 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.
-
- Otolaryngology Physician
- Paragould, AR
- NPI 1205457405
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1336150374
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.