NPIMap

Organization Active NPI

Five Rivers Medical Center

Doing business as Five Rivers Medical Center GI Pro Services

  • Gastroenterology Physician
  • Pocahontas, AR
National Provider Identifier
1821977059
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
FIVE RIVERS MEDICAL CENTER
Doing business as
Five Rivers Medical Center GI Pro Services
Five Rivers Medical Center GI Professional Services
Practice address
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone
(870) 892-6000
Fax
(870) 892-6258
NPI assigned
Sep 1, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FIVE RIVERS MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Randall Dewayne Barymon
Title
Ceo
Phone
(870) 892-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary
Surgery Physician 208600000X

Addresses

Primary practice location

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Mailing address

2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6000

Other names 2

  • Five Rivers Medical Center GI Pro Services Doing business as
  • Five Rivers Medical Center GI Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000471 AR Part B Supplier - Clinic/Group Practice 1456540194 Receives reassigned benefits from 67 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pocahontas, AR

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Five Rivers Medical Center8 organizations share this tax ID, including this one
Part of
Five Rivers Medical Center

Other organizations with this tax ID 7

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

Locations

432 Country Club Rd
Pocahontas, AR 72455
Phone (870) 892-6000

Practitioners & affiliated clinicians

Practitioners 61

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 61

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1821977059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE RIVERS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE RIVERS MEDICAL CENTER INC",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BARYMON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-892-6200"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Rivers Medical Center GI Pro Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Rivers Medical Center GI Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.