Individual provider Active NPI

Jimmy Lee Womack Jr., APRN FNP-C

  • Family Nurse Practitioner
  • Hector, AR
National Provider Identifier
1740850387
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TBD Issued in AR
Practice address
11720 Sr 27
Hector, AR 72843-8712
Phone
(479) 284-2127
Fax
(479) 284-2130
NPI assigned
Jun 27, 2021
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TBD AR Primary

Addresses

Primary practice location

11720 Sr 27
Hector, AR 72843-8712

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

496 Linden Rd
Bee Branch, AR 72013-9105
Phone (501) 238-2765

Other practice location 2

8 N Railroad Ave
Mayflower, AR 72106-9430
Phone (501) 470-9708

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818003904 AR Practitioner - Nurse Practitioner 4789089418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

1415 Hwy 25B
Suite 3
Heber Springs, AR 72543-1710
Phone (501) 362-7538

1800 Bypass Rd
Baptist Health Heber Springs Campus Clinic
Heber Springs, AR 72543-9135
Phone (501) 362-0500

8544 Edgemont Rd
Baptist Health Family Clinic Greers Ferry
Greers Ferry, AR 72067-9401
Phone (501) 825-6283

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TBDARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Aug 26, 2024 Accepting new patients
Baptist Health CurrentSince Aug 26, 2024 Accepting new patients
Baptist Health CurrentSince Aug 26, 2024 Accepting new patients
Baptist Health CurrentSince Aug 26, 2024 Accepting new patients
Baptist Health Past Accepting new patients
Arcare PastSince Aug 1, 2021 Accepting new patients
Arcare Past Accepting new patients

Locations

8544 Edgemont Rd
Greers Ferry, AR 72067
Phone (501) 825-6283

1415 Highway 25B
Ste 3
Heber Springs, AR 72543
Phone (501) 362-7538

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 728-4535

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: jwomack554341@direct.baptist-healthar.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1740850387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 SR 27",
            "city": "HECTOR",
            "state": "AR",
            "postal_code": "728438712",
            "telephone_number": "479-284-2127",
            "fax_number": "479-284-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Linden Rd",
            "address_purpose": "LOCATION",
            "city": "Bee Branch",
            "state": "AR",
            "postal_code": "720139105",
            "country_code": "US",
            "telephone_number": "501-238-2765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 N Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Mayflower",
            "state": "AR",
            "postal_code": "721069430",
            "country_code": "US",
            "telephone_number": "501-470-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "JIMMY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hector, AR

Sources for this page

Verify at the official NPI Registry.