Individual provider Active NPI

Lindsey J Prewitt, M.D.

  • Internal Medicine Physician
  • Clarksville, AR
National Provider Identifier
1770553448
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E2721 Issued in AR
Practice address
601 W McKennon St
Clarksville, AR 72830-3523
Phone
(479) 754-8384
Fax
(479) 754-7141
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E2721 AR Primary

Addresses

Primary practice location

601 W McKennon St
Clarksville, AR 72830-3523

Mailing address

PO Box 668
Clarksville, AR 72830-0668
Phone (479) 754-8384

Other practice location 1

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other practice location 2

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 11

IdentifierTypeStateIssuer
020407900OtherARBLACK LUNG PROGRAM
141092001MedicaidAR
0790780001OtherARPALMETTO GBA
508627OtherARHEALTH LINK
5L601OtherARBLUECROSSBLUESHIELD ARK
2124382OtherARUNITED HEALTHCARE
XX12984OtherARHEALTH PLUS OF MICHIGAN
0062731OtherARUMWA H&R FUNDS
110214034OtherARRAILROAD MEDICARE/PALMETT
7674194OtherARAETNA INSURANCE COMPANY
19169000000OtherARQUALCHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20130227000236 MS Practitioner - Internal Medicine 1052360781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.62 of 100Reported as group
Quality
39.81
Improvement activities
40
Cost
80.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Dumont Physician Services LLC Internal Medicine CurrentSince Dec 2, 2025 Accepting new patients
Anderson Physician Alliance, Inc. Internal Medicine CurrentSince Mar 14, 2025 Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
Clarksville Medical Group, P.a. Past Accepting new patients
Mercy Medical Services, Inc Past Accepting new patients
Johnson Regional Medical Center Past Accepting new patients

Locations

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

Organizations & group practices 9

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 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1770553448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728300668",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MCKENNON ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303523",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "LINDSEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E2721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM",
            "identifier": "020407900",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141092001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0790780001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "508627",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD ARK",
            "identifier": "5L601",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2124382",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "XX12984",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA H&R FUNDS",
            "identifier": "0062731",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETT",
            "identifier": "110214034",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE COMPANY",
            "identifier": "7674194",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "19169000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.