Active NPI
Tracy Jill Jones, APRN
- Family Nurse Practitioner
- Forrest City, AR
National Provider Identifier
1639398571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R41076
- Practice address
- 921 Holiday Dr
Forrest City, AR 72335-9183 - Phone
- (870) 633-4711
- Fax
- (870) 633-4850
- NPI assigned
- Apr 25, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R41076 | AR | Primary |
Addresses
Primary practice location
921 Holiday Dr
Forrest City, AR 72335-9183
Mailing address
921 Holiday Dr
Forrest City, AR 72335-9183
Phone (870) 633-4711
Other practice location 1
900 N 7th St
West Memphis, AR 72301-2001
Phone (870) 735-3842
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200129758 | Medicaid | AR | |
| R1076 | Other | AR | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | james.meredith@jtmmd.eclinicaldirectplus.com | Health Information Exchange (HIE) | James T. Meredith Jr MD PA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Shirley Hicks Dr
Helena, AR 72342-8852
Phone (870) 572-5996
921 Holiday Dr
Forrest City, AR 72335-9183
Phone (870) 633-4711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41076 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Forrest City, AR
- NPI 1164491767
-
- Pediatrics Physician
- Helena, AR
- NPI 1114131802
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Forrest City Medical Center
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
-
dba CenterWell Home Health
- Home Health Agency
- Forrest City, AR
- NPI 1356793467
-
dba Helena Hospital
- Rural Acute Care Hospital
- Helena, AR
- NPI 1154392090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639398571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 HOLIDAY DR",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359183",
"telephone_number": "870-633-4711",
"fax_number": "870-633-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 HOLIDAY DR",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359183",
"telephone_number": "870-633-4711",
"fax_number": "870-633-4850"
}
],
"practiceLocations": [
{
"address_1": "900 N 7th St",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723012001",
"country_code": "US",
"telephone_number": "870-735-3842",
"fax_number": "870-394-4872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "TRACY",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2023-03-07",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "R41076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200129758",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "R1076",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "james.meredith@jtmmd.eclinicaldirectplus.com",
"affiliation": "Y",
"endpointDescription": "practice direct address",
"affiliationName": "James T. Meredith Jr MD PA",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "921 Holiday Dr",
"city": "Forrest City",
"state": "AR",
"country_code": "US",
"postal_code": "723359183",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.