NPIMap

Individual provider Active NPI

Clarence Leonard Kemp, M.D.

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1700849684
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5416 Issued in AR
Practice address
5 Market PL
Paragould, AR 72450-3555
Phone
(870) 236-4001
Fax
(870) 236-4009
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 C5416 AR Primary

Addresses

Primary practice location

5 Market PL
Paragould, AR 72450-3555

Mailing address

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Other identifiers 2

IdentifierTypeStateIssuer
03090023700OtherARQUALCHOICE
102576001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207001200 AR Practitioner - Family Practice 5991761397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragould Family Care, P. a.Group PAC ID 2860789286, 5 clinicians

Practice addresses (Care Compare)

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Hospital & facility affiliations

  • Home Health Professionals & Hospice Home health agency, Jonesboro, AR, CCN 047135
  • Ar Meth Med Ctr HH Home health agency, Paragould, AR, CCN 047004
  • St Bernards Home Care Home health agency, Jonesboro, AR, CCN 047033
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5416ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragould Family Care, P. a. Family Medicine CurrentSince Apr 21, 2016 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

5 Market Pl
Paragould, AR 72450
Phone (870) 236-4001

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greene Acres Nursing HomeParagould, AR, CCN 045424 Skilled nursing facility Corporate Officer Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1700849684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "CLARENCE",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "03090023700",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102576001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.