Individual provider Active NPI

John Philip Pounders Jr., M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1497046015
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-7949 Issued in AR
Practice address
904 Autumn Rd
Suite 200
Little Rock, AR 72211-3702
Phone
(501) 227-6363
Fax
(501) 227-8629
NPI assigned
Apr 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-7949 AR Primary

Addresses

Primary practice location

904 Autumn Rd
Suite 200
Little Rock, AR 72211-3702

Mailing address

904 Autumn Rd
Suite 200
Little Rock, AR 72211-3702
Phone (501) 227-6363

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
I20140820000220 AR Practitioner - Family Practice 0244458057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Autumn Road Family Practice, P.a,Group PAC ID 1153458625, 7 clinicians

Practice addresses (Care Compare)

904 Autumn Rd
Suite 200
Little Rock, AR 72211-3741
Phone (501) 227-6363

Hospital & facility affiliations

  • Elite Home Health Home health agency, Little Rock, AR, CCN 047028
  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7949ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Road Family Practice, P.a, CurrentSince Jul 1, 2014 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

904 Autumn Rd
Ste 200
Little Rock, AR 72211
Phone (501) 227-6363

904 Autumn Rd
Little Rock, AR 72211
Phone (501) 225-4425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22025/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1497046015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113702",
            "telephone_number": "501-227-6363",
            "fax_number": "501-227-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113702",
            "telephone_number": "501-227-6363",
            "fax_number": "501-227-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDERS",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.