NPIMap

Individual provider Active NPI

Joshua Tennyson

  • Emergency Medicine Physician
  • Pine Bluff, AR
National Provider Identifier
1588042246
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-10023 Issued in AR
Practice address
4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone
(870) 541-6000
NPI assigned
May 14, 2015
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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 NU
Emergency Medicine Physician 207P00000X E-10023 AR Primary

Addresses

Primary practice location

4010 S Mulberry St
Pine Bluff, AR 71603-7000

Mailing address

4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone (870) 541-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201002339 AR Practitioner - Family PracticePractitioner - Emergency Medicine 3577843853 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians

Practice addresses (Care Compare)

1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075

1016 N Fourche Ave
Perryville, AR 72126-8545
Phone (501) 238-1284

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 202-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 1, 2020 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Oct 1, 2016 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2018 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Dec 1, 2020 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 19, 2023 Accepting new patients
Nes Kentucky Inc Emergency Medicine CurrentSince Dec 1, 2016 Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2018 Accepting new patients
Dewitt Hospital & Nursing Home, Inc. CurrentSince Jun 26, 2017 Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

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

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

1641 S Whitehead Dr
Dewitt, AR 72042
Phone (870) 946-2971

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

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 728-4535

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

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

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

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

Interoperability endpoints

  • Direct secure messaging: joshua.tennyson.1@29938.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nursing and Rehabilitation Center at Good Shepherd LLCLittle Rock, AR, CCN 045343 Skilled nursing facility Adp of the SNF Dec 10, 2024
Robinson Nursing and Rehabilitation Center LLCNorth Little Rock, AR, CCN 045374 Skilled nursing facility Adp of the SNF Dec 10, 2024
Sherwood Nursing & Rehabilitation Center IncSherwood, AR, CCN 045376 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 2024
Dec 10, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1588042246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037000",
            "telephone_number": "870-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037000",
            "telephone_number": "870-541-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-10023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.