Individual provider Active NPI

John C Lumb, MD

  • Surgery Physician
  • Paragould, AR
National Provider Identifier
1467403352
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-0113 Issued in AR
Practice address
900 W Kingshighway
Paragould, AR 72450-5942
Phone
(870) 239-7165
Fax
(870) 239-7484
NPI assigned
May 15, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-0113 AR Primary
Surgery Physician 208600000X 11503A WY
Surgery Physician 208600000X MD31513 TN

Addresses

Primary practice location

900 W Kingshighway
Paragould, AR 72450-5942

Mailing address

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7000

Other practice location 1

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

Other identifiers 3

IdentifierTypeStateIssuer
3842814MedicaidTN
460553OtherTNAETNA
4189347OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815001954 WY Practitioner - General Surgery 1951408673 Reassigns benefits to 2 organizations
I20240607001508 AR Practitioner - General Surgery 1951408673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W Kingshighway
Suite 14
Paragould, AR 72450-4197
Phone (870) 239-7103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-0113ARMDSurgery Physician
MD31513TNMDSurgery Physician
11503AWYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Methodist Hospital Corporation Surgery CurrentSince May 20, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Apr 16, 2001 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Apr 16, 2001 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients

Locations

1000 W Kingshighway
Ste 13
Paragould, AR 72450
Phone (870) 239-5916

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

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

2012 Elm St
Rawlins, WY 82301
Phone (307) 234-0003

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

2221 Elm St
Ste A1
Rawlins, WY 82301

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

Interoperability endpoints

  • Direct secure messaging: john_lumb_-_physician_-_wag@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1467403352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7000",
            "fax_number": "870-239-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7165",
            "fax_number": "870-239-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 ELM ST",
            "address_purpose": "LOCATION",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015108",
            "country_code": "US",
            "telephone_number": "307-324-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMB",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-0113",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "11503A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD31513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3842814",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "460553",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4189347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.