Jeffrey A. Medlock, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-0205 Issued in AR

Practice address

937 Highway 64 East
Alma, AR 72921

Phone

(479) 632-3855

Fax

(479) 632-0296

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Baptist Health Regional HospitalsGroup PAC ID 0244589612, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kindred at Home 1 Home health agency, Fort Smith, AR, CCN 047038
• Access Home Health Home health agency, Fort Smith, AR, CCN 047009
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Baptist Health - Van Buren Hospital, Van Buren, AR, CCN 040018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmedlock191488@direct.baptist-healthar.org

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.

• Baptist Health Regional Hospitals

  • Rural Health Clinic/Center
  • Alma, AR
  • NPI 1811606254
  Medicare reassignment Care Compare group NPD
• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• F&S Physical Therapy, Inc.

  • Physical Therapist
  • Alma, AR
  • NPI 1518936418
  Care Compare group
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043
  NPD
• Van Buren Hma LLC

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1386687036
  NPD (past)

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

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1154807584
  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1619909884
  Care Compare affiliation
• Fort Smith Hma Home Health, LLC

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1205997392
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1689692360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 HIGHWAY 64 EAST",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "72921",
            "telephone_number": "479-632-3855",
            "fax_number": "479-632-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHWAY 64 EAST",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "72921",
            "telephone_number": "479-632-3855",
            "fax_number": "479-632-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-0205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080179030",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129661001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Lyn McCoy
• Brittany Elizabeth McMillan
• Kasha McSpadden
• Malinda McSpadden
• Rodreka Meadows
• Jasmine Grace Meier
• Melinda Mendzef
• Candace Mache Miles
• Mitchelle Therapy Services, Inc
• Linna Faye Moffet

• Family Medicine Physician in Alma, AR
• Providers in Alma, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.

Verify at the official NPI Registry.