NPIMap

Individual provider Active NPI

Jodi Lynette Sanson, MD

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1770538308
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3642 Issued in AR
Practice address
1629 Airport Rd
Suite B
Hot Springs, AR 71913-7951
Phone
(501) 767-0075
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3642 AR Primary
Emergency Medicine Physician 207P00000X E3642 AR

Addresses

Primary practice location

1629 Airport Rd
Suite B
Hot Springs, AR 71913-7951

Mailing address

1661 Airport Rd
Suite D
Hot Springs, AR 71913-7951
Phone (501) 625-7500

Other identifiers 1

IdentifierTypeStateIssuer
155666001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000712 AR Practitioner - Family Practice 9032179981 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
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
Healthstar Physicians Practice Management PLLCGroup PAC ID 9133523608, 14 clinicians
Healthstar Physicians of Hot Springs PLLCGroup PAC ID 5698665685, 51 clinicians

Practice addresses (Care Compare)

1661 Airport Rd
Suite D
Hot Springs, AR 71913-8184
Phone (501) 625-7500

248 Hwy 70 E
Glenwood, AR 71943-8801
Phone (870) 356-4801

Hospital & facility affiliations

  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • Center Well Home Health Home health agency, Hot Springs, AR, CCN 047105
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3642ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Family Medicine-Mena PLLC Family Medicine CurrentSince Oct 14, 2017 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Healthstar Physicians Practice Management PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Acs Primary Care Physicians of Arkansas PA Emergency Medicine Past Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Past Accepting new patients

Locations

120 Adcock Rd
#B
Hot Springs, AR 71913
Phone (501) 767-1538

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

1706 Highway 71 N
Mena, AR 71953
Phone (479) 394-1500

Interoperability endpoints

  • Direct secure messaging: jodi.sanson.1@16721.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1770538308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD",
            "address_2": "SUITE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137951",
            "telephone_number": "501-625-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AIRPORT RD",
            "address_2": "SUITE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137951",
            "telephone_number": "501-767-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSON",
        "first_name": "JODI",
        "middle_name": "LYNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3642",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E3642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155666001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.