Individual provider Active NPI

John Austin Beatty, MD

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1578050472
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E14237 Issued in AR
Practice address
1012 E Church St Ste B
Warren, AR 71671-3530
Phone
(870) 226-6754
Fax
(870) 226-7925
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E14237 AR Primary

Addresses

Primary practice location

1012 E Church St Ste B
Warren, AR 71671-3530

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Other practice location 1

7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone (918) 710-4200

Other identifiers 1

IdentifierTypeStateIssuer
271918001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.beatty@mhsi.eclinicaldirectplus.com

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
I20210726000967 AR Practitioner - Family Practice 1153652094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems Inc 55 clinicians

Practice addresses (Care Compare)

1012 E Church St
Suite B
Warren, AR 71671-3530
Phone (870) 226-6754

300 S School St
Dermott, AR 71638-2127
Phone (870) 538-3355

505 Sycamore St
Rison, AR 71665-8860
Phone (870) 325-6255

579 E Beouff St
Eudora, AR 71640-3090
Phone (870) 355-2512

Hospital & facility affiliations

  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Bradley County Medical Center Hospital, Warren, AR, CCN 041327
  • Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E14237ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems, Inc CurrentSince Oct 23, 2023 Accepting new patients
Ess of McGehee LLC CurrentSince Apr 21, 2023 Accepting new patients
Mainline Health Systems, Inc CurrentSince Oct 23, 2023 Accepting new patients
St. John Physicians, Inc. Family Medicine Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-4302

203 McCombs St
Wilmot, AR 71676
Phone (870) 473-2274

Interoperability endpoints

  • Direct secure messaging: john.beatty@mhsi.eclinicaldirectplus.com

Organizations & group practices 6

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 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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1578050472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST STE B",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713530",
            "telephone_number": "870-226-6754",
            "fax_number": "870-226-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365056",
            "country_code": "US",
            "telephone_number": "918-710-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JOHN",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E14237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271918001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.beatty@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1012 E Church St Ste B",
            "city": "Warren",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716713530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.