Individual provider Active NPI

Kiley Jones, MD

  • Child & Adolescent Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1710483458
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
E-15326 Issued in AR
Practice address
1210 Wolfe St
Little Rock, AR 72202-4618
Phone
(501) 364-5150
Fax
(501) 364-3966
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X E-15326 AR Primary

Addresses

Primary practice location

1210 Wolfe St
Little Rock, AR 72202-4618

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

4301 W Markham St # 654
Little Rock, AR 72205-7101
Phone (501) 526-8148

Other names 1

  • Kiley Bozoarth Former 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
I20231017001607 AR Practitioner - Psychiatry 9931455441 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-15326ARMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Children'S Hospital CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Dec 8, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Child & Adolescent Psychiatry Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Sep 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1210 Wolfe St
Little Rock, AR 72202
Phone (501) 364-3889

4301 W Markham St
#589
Little Rock, AR 72205
Phone (501) 526-8120

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#654
Little Rock, AR 72205
Phone (501) 364-1992

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1710483458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WOLFE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024618",
            "telephone_number": "501-364-5150",
            "fax_number": "501-364-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 654",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-526-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E-15326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "BOZOARTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.