Active NPI
Ben T Wilkins MD Inc
- Pediatrics Physician
- Searcy, AR
National Provider Identifier
1639208382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E3747
- Legal business name
- BEN T WILKINS MD INC
- Practice address
- 400 S Main St
Suite 200
Searcy, AR 72143-6848 - Phone
- (501) 279-0502
- Fax
- (501) 279-0506
- NPI assigned
- Mar 5, 2007
- Last updated
- Feb 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ben T Wilkins, MD
- Title
- President
- Phone
- (501) 279-0502
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | A03713 | AR | |
| Pediatrics Physician | 208000000X | E3747 | AR | Primary |
Addresses
Primary practice location
400 S Main St
Suite 200
Searcy, AR 72143-6848
Mailing address
400 S Main St
Suite 200
Searcy, AR 72143-6848
Phone (501) 279-0502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150629002 | Medicaid | AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1017531 | Ben T Wilkins MD Inc | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
400 S Main St
Ste 200
Searcy, AR 72143
Phone (501) 279-0502
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Searcy, AR
- NPI 1366021933
-
- Pediatrics Physician
- Searcy, AR
- NPI 1114909124
-
- Pediatrics Physician
- Searcy, AR
- NPI 1043249550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1639208382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S MAIN ST",
"address_2": "SUITE 200",
"city": "SEARCY",
"state": "AR",
"postal_code": "721436848",
"telephone_number": "501-279-0502",
"fax_number": "501-279-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S MAIN ST",
"address_2": "SUITE 200",
"city": "SEARCY",
"state": "AR",
"postal_code": "721436848",
"telephone_number": "501-279-0502",
"fax_number": "501-279-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEN T WILKINS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-279-0502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A03713",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E3747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150629002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.