Individual provider Active NPI

Ryan Avery Madison, DO

  • Family Medicine Physician
  • Harrison, AR
National Provider Identifier
1528742863
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-20704 Issued in AR
Practice address
1401 Highway 62 65 N Ste 230
Harrison, AR 72601-1703
Phone
(870) 414-5400
Fax
(870) 414-5401
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-20704 AR Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X E-20704 AR

Addresses

Primary practice location

1401 Highway 62 65 N Ste 230
Harrison, AR 72601-1703

Mailing address

PO Box 2990
Harrison, AR 72602-2990
Phone (870) 414-5400

Other practice location 1

724 N Spring St Ste A
Harrison, AR 72601-2913
Phone (870) 365-0850

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
I20260602002326 AR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5496116345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2990
Harrison, AR 72602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-20704ARMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rmadison878178@ahs.direct-ci.com
  • Direct secure messaging: rmadison427343@christushealth.direct-ci.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1528742863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2990",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022990",
            "telephone_number": "870-414-5400",
            "fax_number": "870-414-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HIGHWAY 62 65 N STE 230",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011703",
            "telephone_number": "870-414-5400",
            "fax_number": "870-414-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 N Spring St Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726012913",
            "country_code": "US",
            "telephone_number": "870-365-0850",
            "fax_number": "870-365-0862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADISON",
        "first_name": "RYAN",
        "middle_name": "AVERY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-20704",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "AR",
            "license": "E-20704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.