Kevin J Collins MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KEVIN J COLLINS MD PA

Practice address

3401 Springhill Dr
Suite 460
North Little Rock, AR 72117-2924

Phone

(501) 945-1888

Fax

(501) 945-4102

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Kevin J Collins, MDNPI 1699730549

Title

Owner

Phone

(501) 945-1888

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCHACA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Jerome Collins, MD

  • Physical Medicine & Rehabilitation Physician
  • North Little Rock, AR
  • NPI 1699730549
  Medicare reassignment NPD Authorized official
• Susan Tate, PAC

  • Physician Assistant
  • North Little Rock, AR
  • NPI 1053320259
  NPD (past)
• Sean M Foley, MD

  • Physical Medicine & Rehabilitation Physician
  • Johns Creek, GA
  • NPI 1659328862
  NPD (past)
• Liv E Miller, PSYD, ABPP-CN

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1033421193
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710996756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25618",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722215618",
            "telephone_number": "501-945-1888",
            "fax_number": "501-945-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "SUITE 460",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172924",
            "telephone_number": "501-945-1888",
            "fax_number": "501-945-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J COLLINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-945-1888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARKANSAS",
            "identifier": "5F100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Sarah Kennard
• Bobbie Jo Kennedy
• Mary Elizabeth Kennedy, PSYD, LPC
• Lynda Kennepp, PT, CWS-LANA
• Florian S. Keplinger, MD
• Andrew Khalifa, MD
• Saira Khan, MS, CF-SLP
• Maha Khatib, CPHT
• Arian Khoshgowari, DO
• Denesh K Khullar, DDS

• Physical Medicine & Rehabilitation Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.