Individual provider Active NPI

Archie Hearne, M.D.

  • Adult Medicine Physician
  • Little Rock, AR
National Provider Identifier
1851505358
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
N-6227 Issued in AR
Practice address
1001 Wright Ave
Little Rock, AR 72206-1062
Phone
(501) 224-2800
Fax
(501) 224-2829
NPI assigned
May 10, 2007
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X N-6227 AR Primary

Addresses

Primary practice location

1001 Wright Ave
Little Rock, AR 72206-1062

Mailing address

1001 Wright Ave
Little Rock, AR 72206-1062
Phone (501) 224-2800

Other identifiers 1

IdentifierTypeStateIssuer
770156901MedicaidAR

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
I20031124000660 AR Practitioner - Family Practice 7416851100 Practice locations: Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, shared by 102 NPIs, 249 clinicians

Practice addresses (Care Compare)

1001 Wright Ave
Little Rock, AR 72206-1062
Phone (501) 224-2800

630 W S St
Benton, AR 72015-4258
Phone (870) 347-2534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1851505358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WRIGHT AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061062",
            "telephone_number": "501-224-2800",
            "fax_number": "501-224-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WRIGHT AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061062",
            "telephone_number": "501-224-2800",
            "fax_number": "501-224-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARNE",
        "first_name": "ARCHIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AR",
            "license": "N-6227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770156901",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.