Individual provider Active NPI

John Allen Cockerell, M.D.

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1669867099
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11342 Issued in AR
Practice address
4020 Richards Rd Ste I
North Little Rock, AR 72117-2744
Phone
(501) 916-9693
Fax
(501) 916-9804
NPI assigned
Apr 2, 2015
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-11342 AR Primary

Addresses

Primary practice location

4020 Richards Rd Ste I
North Little Rock, AR 72117-2744

Mailing address

4020 Richards Rd Ste I
North Little Rock, AR 72117-2744
Phone (501) 917-9693

Other names 1

  • John A Cockerell Professional name

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
I20180626002307 AR Practitioner - Family Practice 7113228529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

1310 N Ctr St
Arcare 47
Lonoke, AR 72086-2011
Phone (501) 676-0181

227 Pine Bluff Hwy
England, AR 72046-2234
Phone (501) 842-3132

4020 N Richards Rd I
Arcare78
North Little Rock, AR 72117-2744
Phone (501) 916-9693

606 Wilbur D Mills N
Arcare 80
Kensett, AR 72082-9051
Phone (501) 742-5697

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Oct 6, 2025 Accepting new patients
Arcare Current Accepting new patients
Autumn Road Family Practice, P.a, CurrentSince Feb 24, 2025 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Arcare CurrentSince Oct 6, 2025 Accepting new patients
Arkansas Health Group CurrentSince Aug 1, 2018 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine PastSince Feb 24, 2025 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

904 Autumn Rd
Ste 200
Little Rock, AR 72211
Phone (501) 227-6363

4020 Richards Rd
Ste I
North Little Rock, AR 72117
Phone (501) 916-9693

1308 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 835-0703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22025/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1669867099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172744",
            "telephone_number": "501-917-9693",
            "fax_number": "501-916-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172744",
            "telephone_number": "501-916-9693",
            "fax_number": "501-916-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERELL",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "COCKERELL",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.