NPIMap

Organization Active NPI

Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
National Provider Identifier
1821972225
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAIN TREATMENT CENTERS OF AMERICA PLLC
Practice address
4318 Highway 65 S
Harrison, AR 72601-9487
Phone
(844) 215-0731
Fax
(888) 630-8885
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
William McCrary
Title
Ceo
Phone
(844) 215-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4318 Highway 65 S
Harrison, AR 72601-9487

Mailing address

PO Box 23120
Little Rock, AR 72221-3120
Phone (501) 900-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924003011 AR DME Supplier - Multi-Specialty - Physician 2769608819 Practice locations: Harrison, AR

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Pain Treatment Centers27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1111 Main St
Ste 102
Conway, AR 72032

4318 Highway 65 S
Harrison, AR 72601
Phone (870) 414-4040

1710 Mayfield Dr
Jonesboro, AR 72401
Phone (870) 275-4927

108 N Shackleford Rd
Ste 106
Little Rock, AR 72211
Phone (501) 900-8763

2200 Malcolm Ave
Ste B
Newport, AR 72112
Phone (870) 512-2500

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

2100 N State Line Ave
Texarkana, AR 71854
Phone (870) 779-1111

8608 Dollarway Rd
Ste B
White Hall, AR 71602

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1821972225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722213120",
            "telephone_number": "501-900-8770",
            "fax_number": "210-526-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 HIGHWAY 65 S",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019487",
            "telephone_number": "844-215-0731",
            "fax_number": "888-630-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN TREATMENT CENTERS OF AMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-215-0731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.