Active NPI
Eragon Precision Health LLC
- Health Service Clinic/Center
- Pine Bluff, AR
National Provider Identifier
1639978950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ERAGON PRECISION HEALTH LLC
- Practice address
- 2501 Sheffield Drive
Pine Bluff, AR 71603 - Phone
- (479) 448-5929
- NPI assigned
- Mar 10, 2025
- 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
- Miss Rosie L. Rice
- Title
- Administrator
- Phone
- (501) 786-1759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2501 Sheffield Drive
Pine Bluff, AR 71603
Mailing address
400 W Capitol Avenue
Ste 1700 PNB 2587
Little Rock, AR 72201-3438
Phone (479) 448-5929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932872975 | Medicaid | AR | |
| 1477549756 | Medicaid | AR |
Other names 1
- Eragon Health Solutions LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | CommonWell | Health Information Exchange (HIE) | THE UNIVERSITY HOSPITAL OF ARKANSAS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Pine Bluff, AR
- NPI 1295536936
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1639978950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W CAPITOL AVENUE",
"address_2": "STE 1700 PNB 2587",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722013438",
"telephone_number": "479-448-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 SHEFFIELD DRIVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "479-448-5929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERAGON PRECISION HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "ROSIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "501-786-1759",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932872975",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477549756",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "CommonWell",
"affiliation": "Y",
"affiliationName": "THE UNIVERSITY HOSPITAL OF ARKANSAS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Histories",
"address_1": "400 W Capitol Avenue",
"address_2": "Suite 1700 PNB 2587",
"city": "Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "722013438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Eragon Health Solutions LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.