Individual provider Active NPI

Jyothsna Kumar, M.D.

  • Psychiatry Physician
  • Jonesboro, AR
National Provider Identifier
1669447702
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E0110 Issued in AR
Practice address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone
(870) 972-4939
Fax
(870) 972-4911
NPI assigned
Feb 22, 2006
Last updated
Sep 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E0110 AR Primary

Addresses

Primary practice location

2707 Browns LN
Jonesboro, AR 72401-7213

Mailing address

1801 Lindauer Rd
Forrest City, AR 72335-2407
Phone (870) 633-5016

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
I20050114000912 AR Practitioner - Psychiatry 3577512680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kumars Medical Clinic PAGroup PAC ID 7416918677, 2 clinicians

Practice addresses (Care Compare)

1801 Lindauer Rd
Forrest City, AR 72335-2407
Phone 87063350161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0110ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kumar's Medical Clinic PA CurrentSince Apr 1, 2016 Accepting new patients
Forrest City Clinic Company LLC CurrentSince Nov 19, 2016 Accepting new patients
Kids for the Future, Inc. Past Accepting new patients
Kids for the Future, Inc. Past Accepting new patients
Kids for the Future, Inc. Past Accepting new patients
The Logan Centers, Inc. Psychiatry Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1801 Lindauer Rd
Forrest City, AR 72335
Phone (870) 633-5016

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jkumar03@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1669447702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LINDAUER RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352407",
            "telephone_number": "870-633-5016",
            "fax_number": "870-633-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "JYOTHSNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E0110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.