Individual provider Active NPI

Jheanelle Dawkins, MD

  • Adult Medicine Physician
  • Sherwood, AR
National Provider Identifier
1811494974
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
E-12767 Issued in AR
Practice address
1308 E Kiehl Ave
Sherwood, AR 72120-3040
Phone
(501) 835-0703
Fax
(501) 833-1716
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X E-12767 AR Primary

Addresses

Primary practice location

1308 E Kiehl Ave
Sherwood, AR 72120-3040

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (018) 350-7035

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
I20200203000237 AR Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 9436585981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1308 E Kiehl Ave
Sherwood, AR 72120-3040
Phone (501) 835-0703

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12767ARMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Apr 6, 2021 Accepting new patients
HCC of Warren LLC CurrentSince Jan 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 2, 2020 Accepting new patients
Ess of Fordyce LLC CurrentSince Jan 1, 2020 Accepting new patients
HCC of Warren Hospitalist LLC CurrentSince Jan 1, 2021 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Jan 1, 2020 Accepting new patients
Arkansas Health Group CurrentSince Apr 6, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince May 2, 2020 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Jul 1, 2020 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

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

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1308 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 835-0703

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Interoperability endpoints

  • Direct secure messaging: jdawkins368691@direct.baptist-healthar.org

Organizations & group practices 10

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 3

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1811494974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "018-350-7035",
            "fax_number": "501-833-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203040",
            "telephone_number": "501-835-0703",
            "fax_number": "501-833-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "JHEANELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "E-12767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.