Individual provider Active NPI

John Everett Wilson, MD

  • Family Medicine Physician
  • Walnut Ridge, AR
National Provider Identifier
1831149764
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2605 Issued in AR
Practice address
1309 W Main St
Walnut Ridge, AR 72476-1430
Phone
(870) 886-1200
NPI assigned
May 11, 2006
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2605 AR Primary

Addresses

Primary practice location

1309 W Main St
Walnut Ridge, AR 72476-1430

Mailing address

1900 Marlanita Dr
Paragould, AR 72450-4863

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
I20250730003191 AR Practitioner - Family Practice 2860459831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
82.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2605ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Memorial Health Foundation Inc. CurrentSince Jan 1, 2026 Accepting new patients
Hendrix Medical Services PLLC Family Medicine Past Accepting new patients
Family Practice Clinic of Paragould Family Medicine PastSince Nov 18, 2005 Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients
Acs Primary Care Physicians of Arkansas PA Past Accepting new patients
Lawrence Memorial Health Foundation Inc. Past Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients

Locations

1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1831149764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MARLANITA DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761430",
            "telephone_number": "870-886-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

Verify at the official NPI Registry.