Individual provider Active NPI

Cori Anne Dyson, M.D

  • Psychiatry Physician
  • Jonesboro, AR
National Provider Identifier
1730304874
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-5305 Issued in AR
Practice address
820 East Matthews
Suite F
Jonesboro, AR 72401
Phone
(870) 972-1497
Fax
(866) 422-5771
NPI assigned
Apr 16, 2007
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-5305 AR Primary

Addresses

Primary practice location

820 East Matthews
Suite F
Jonesboro, AR 72401

Mailing address

PO Box 11064
Fayetteville, AR 72703-1001
Phone (870) 520-5014

Other names 1

  • Cori Anne Burdine 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
I20070628000049 AR Practitioner - Psychiatry 8325147531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ar Nextstep Counseling Services, LLCGroup PAC ID 1759703010, 6 clinicians

Practice addresses (Care Compare)

2315 E Matthews Ave
Jonesboro, AR 72401-4415
Phone (501) 626-8279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5305ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextstep Counseling Services, LLC CurrentSince Mar 1, 2022 Accepting new patients
The Logan Centers, Inc. Psychiatry CurrentSince Oct 26, 2021 Accepting new patients
TDS Psychiatric Services L.L.C. Past Accepting new patients

Locations

1800 Lindauer Rd
Forrest City, AR 72335
Phone (870) 208-9333

3305 E Highland Dr
Ste B
Jonesboro, AR 72401
Phone (870) 520-5015

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

2711 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 215-0673

204 N Rhodes St
West Memphis, AR 72301
Phone (870) 400-8080

1792 Falls Blvd N
Ste 5
Wynne, AR 72396
Phone (870) 208-9333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1730304874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11064",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031001",
            "telephone_number": "870-520-5014",
            "fax_number": "870-520-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EAST MATTHEWS",
            "address_2": "SUITE F",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-972-1497",
            "fax_number": "866-422-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "CORI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORI",
            "last_name": "BURDINE",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.