Active NPI
Ryan Avery Madison, DO
- Family Medicine Physician
- Harrison, AR
National Provider Identifier
1528742863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-20704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| E-20704 | AR | MD | Family Medicine Physician |
Interoperability endpoints
- rmadison878178@ahs.direct-ci.com
- 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.
-
dba NARMC Professional Practice Group
- Hospitalist Physician
- Harrison, AR
- NPI 1376817304
-
dba NARMC The Med Urgent Care - North
- Primary Care Clinic/Center
- Harrison, AR
- NPI 1588345243
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.