Individual provider Active NPI

Jessica Pillow, MD

  • Dermatology Physician
  • Little Rock, AR
National Provider Identifier
1639390701
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E-5188 Issued in AR
Practice address
9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone
(501) 227-8422
Fax
(501) 537-2399
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X E5188 AR
Pediatric Dermatology Physician 207NP0225X E5188 AR
Procedural Dermatology Physician 207NS0135X E-5188 AR
Dermatology Physician 207N00000X E-5188 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328

Mailing address

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Other identifiers 1

IdentifierTypeStateIssuer
165785001MedicaidAR

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
I20070920000394 AR Practitioner - Dermatology 0042304164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as individual
Quality
87.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions952
Removal of skin cancer120
Removal of nail tissue1-10
Removal or shaving of skin growth94
Skin biopsy176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5188ARMDClinical & Laboratory Dermatological Immunology Physician
E-5188ARMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Dermatology and Skin Cancer Specialists, P.a. Dermatology CurrentSince Jul 30, 2007 Accepting new patients
Prime Medical Group PLLC Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Pillow Clinic, PLLC PastSince Jul 30, 2007 Accepting new patients

Locations

810B Newman Dr
Helena, AR 72342
Phone (870) 338-7494

810 Newman Dr
#B
Helena, AR 72342
Phone (870) 338-7494

9601 Baptist Health Dr
Ste 690
Little Rock, AR 72205
Phone (501) 227-8422

1416 W 43rd Ave
Pine Bluff, AR 71603
Phone (501) 776-3800

Interoperability endpoints

  • Direct secure messaging: jpillo021@yourcarecommunity.org

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1639390701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "AR",
            "license": "E5188",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AR",
            "license": "E5188",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AR",
            "license": "E-5188",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-5188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165785001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.