Individual provider Active NPI

Jason E Gault, DO

  • Surgery Physician
  • Monticello, AR
National Provider Identifier
1861608192
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-19453 Issued in AR
Practice address
778 Scogin Dr Ste 140
Monticello, AR 71655-5729
Phone
(870) 460-3515
Fax
(870) 460-3529
NPI assigned
May 15, 2007
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2010016117 MO
Surgery Physician 208600000X E-19453 AR Primary

Addresses

Primary practice location

778 Scogin Dr Ste 140
Monticello, AR 71655-5729

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (870) 460-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100916001035 MO Practitioner - General Surgery 0840315636 Reassigns benefits to 1 organization
I20250616002789 AR Practitioner - General Surgery 0840315636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

778 Scogin Dr
Suite 140
Monticello, AR 71655-5729
Phone (870) 460-3515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Feb 1, 2016 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Arkansas Health Group CurrentSince Jul 1, 2025 Accepting new patients
Arkansas Health Group Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Feb 1, 2016 Accepting new patients
Arkansas Health Group Surgery CurrentSince Jul 1, 2025 Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

778 Scogin Dr
#140
Monticello, AR 71655

778 Scogin Dr
Ste 140
Monticello, AR 71655
Phone (870) 460-3515

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

Interoperability endpoints

  • Direct secure messaging: jgault807791@direct.baptist-healthar.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid-Missouri Family Health at FitzgibbonMarshall, MO, CCN 268789 Rural health clinic Corporate Director May 1, 2021
Pilot Grove Medical Clinic at FitzgibbonPilot Grove, MO, CCN 268790 Rural health clinic Corporate Director May 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1861608192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "870-460-3515",
            "fax_number": "870-460-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR STE 140",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-3515",
            "fax_number": "870-460-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "JASON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2010016117",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-19453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.