Active NPI
Nephertiti Efeovbokhan, M.D.
- Cardiovascular Disease Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E-8188
- Practice address
- 4802 E Johnson Ave
Jonesboro, AR 72401-8413 - Phone
- (870) 936-8000
- Fax
- (870) 934-3630
- NPI assigned
- Jul 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME124080 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | E-8188 | AR | Primary |
Addresses
Primary practice location
4802 E Johnson Ave
Jonesboro, AR 72401-8413
Mailing address
PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201183001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250
3054 W State Hwy 18
Manila, AR 72442-8201
Phone (870) 936-4500
4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
51 Choctaw Trce
Cherokee Village, AR 72529-2702
Phone (870) 856-2862
516 Industrial Park Dr
Trumann, AR 72472-9602
Phone (870) 935-8388
616 W Keiser Ave
Osceola, AR 72370-3504
Phone (870) 563-5888
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- St Bernards Medical Center
- Baptist Memorial Hospital-Crittenden, Inc
- Arkansas Methodist Medical Center
- Great River Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 49 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
1200 Riverplace Blvd
Ste 620
Jacksonville, FL 32207
Phone (904) 396-6620
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Interoperability endpoints
- nefeovbokhan79685@direct.bmhcc.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Internal Medicine
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679738538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1960",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031960",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 E JOHNSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018413",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFEOVBOKHAN",
"first_name": "NEPHERTITI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME124080",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "E-8188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201183001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.