Peyton Victoria Courtney, NP
Individual provider Active NPI Family Medicine Physician · Marion, AR
NPI 1831834829 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1831834829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 219439 (AR)
- Practice address
- 924 State Highway 77
Marion, AR 72364-9004 - Phone
- (870) 739-8670
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Physician Clinics Inc
Practice addresses (Care Compare)
800 S Church St
Suite 201
Jonesboro, AR 72401-4106
Phone (870) 934-1462
Hospital & facility affiliations
- St Bernards Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220705002270 | AR | Practitioner - Nurse Practitioner | 3870973118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current |
Accepting new patients | |
| St Bernards Physician Clinics, Inc. | Current |
Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
800 S Church St
Ste 201
Jonesboro, AR 72401
Phone (870) 934-1462
Interoperability endpoints
- pvcourtney@sbpc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 219439 | AR | Yes |
Addresses
Primary practice location
924 State Highway 77
Marion, AR 72364-9004
Mailing address
924 State Highway 77
Marion, AR 72364-9004
Other names
- Peyton Victoria Wiggins
Other providers in Marion, AR
- Compassions Counseling and Consulting LLC
- Counseling Consultants
- Counseling Consultants Inc.
- Counseling Consultants, Inc
- Counseling Consultants, Inc
- Jurlonda Crayton
- Crittenden Hospital Association
- Crittenden Hospital Association
- Crittenden Hospital Association
- Crume Athletics, LLC
All providers in Marion, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.