Individual provider Active NPI

Nathan Probst, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1508213984
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-10801 Issued in AR
Practice address
1601 W 40TH Ave
Pine Bluff, AR 71603-6069
Phone
(870) 541-7611
Fax
(870) 541-7602
NPI assigned
May 16, 2016
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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-10801 AR Primary

Addresses

Primary practice location

1601 W 40TH Ave
Pine Bluff, AR 71603-6069

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

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
I20171006000074 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8527333251 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7211

1601 W 40TH Ave
Pine Bluff, AR 71603-6069
Phone (870) 541-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10801ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monticello Ess LLC CurrentSince Sep 3, 2018 Accepting new patients
Correct Care, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Sep 7, 2018 Accepting new patients
Hospital Care Consultants of Fordyce LLC Hospitalist CurrentSince Sep 22, 2017 Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Jul 28, 2018 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ess of Fordyce LLC CurrentSince Sep 22, 2017 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Sep 8, 2023 Accepting new patients
Nes Kentucky Inc CurrentSince Dec 3, 2017 Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Jul 28, 2018 Accepting new patients
Jefferson Hospital Association, Inc Current Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1600 W 40th Ave
Ste 3SW
Pine Bluff, AR 71603
Phone (870) 541-8767

1601 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7611

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

4010 S Mulberry St
Pine Bluff, AR 71603
Phone (870) 541-6008

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 13

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.

View all 13

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508213984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 40TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036069",
            "telephone_number": "870-541-7611",
            "fax_number": "870-541-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.