Individual provider Active NPI

Michael Tomlinson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Jonesboro, AR
National Provider Identifier
1760449342
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
E-3570 Issued in AR
Practice address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone
(870) 972-4080
Fax
(870) 972-4905
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-3570 AR
Prescribing (Medical) Psychologist 103TP0016X
Child & Adolescent Psychiatry Physician 2084P0804X E-3570 AR Primary

Addresses

Primary practice location

2707 Browns LN
Jonesboro, AR 72401-7213

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4080

Other practice location 1

1217 Stone St
Jonesboro, AR 72401-4520
Phone (870) 972-1268

Other identifiers 1

IdentifierTypeStateIssuer
150828001MedicaidAR

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
I20041025000264 AR Practitioner - Family PracticePractitioner - Emergency Medicine 5890756704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Indiana University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23446NCMDPharmacist
E-3570ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Jan 24, 2018 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Jan 24, 2018 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Emergency Medicine Past Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Nes Arkansas, Inc. Emergency Medicine Past Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760449342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4080",
            "fax_number": "870-972-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4080",
            "fax_number": "870-972-4905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Stone St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014520",
            "country_code": "US",
            "telephone_number": "870-972-1268",
            "fax_number": "870-934-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-3570",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E-3570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150828001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.