NPIMap

Individual provider Active NPI

Peyton Davis Card

  • Internal Medicine Physician
  • Little Rock, AR
National Provider Identifier
1851787659
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-10860 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211
Phone
(501) 664-5860
Fax
(501) 664-0889
NPI assigned
Apr 9, 2015
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-10860 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211

Mailing address

7 Shackleford West Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

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
I20180803002334 AR Practitioner - Internal Medicine 5395051767 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

605 Dave Ward Dr
Suite 105
Conway, AR 72034-7138
Phone (501) 504-6270

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10860ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC Multi-Specialty CurrentSince Jul 16, 2018 Accepting new patients
Arkansas Heart Hospital, LLC Multi-Specialty CurrentSince Jul 16, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 16, 2018 Accepting new patients

Locations

605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

2223 Grant St
Malvern, AR 72104
Phone (501) 337-9031

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

3930 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 306-3484

Organizations & group practices 4

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 8

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1851787659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113886",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "PEYTON",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.