NPIMap

Individual provider Active NPI

Terry Grant Fletcher, MD PHD

  • Pain Medicine (Anesthesiology) Physician
  • Little Rock, AR
National Provider Identifier
1851443832
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E-5050 Issued in AR
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 712-2571
NPI assigned
Jan 18, 2007
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E-5050 AR
Pain Medicine (Anesthesiology) Physician 207LP2900X E-5050 AR Primary

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

Other identifiers 3

IdentifierTypeStateIssuer
P00412911OtherARRAILROAD MEDICARE
163885001MedicaidAR
5N783OtherARAR BLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000174 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 4284730623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jan 25, 2007 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 25, 2007 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Mar 1, 2018 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Mar 1, 2018 Accepting new patients
Searcy Ambulatory Surgery Center LLC Past Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

2902 Mid Cities Dr
Bentonville, AR 72712
Phone (870) 916-5500

2425 Dave Ward Dr
Ste 302
Conway, AR 72034

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

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

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

4509 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-4200

1115 S Main St
Searcy, AR 72143
Phone (501) 255-0410

Organizations & group practices 7

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1851443832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "TERRY",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-5050",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-5050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00412911",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163885001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS/BLUE SHIELD",
            "identifier": "5N783",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.