Individual provider Active NPI

Alan Robert Storeygard, MD

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1881690477
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6020 Issued in AR
Practice address
3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909
Phone
(501) 753-4132
Fax
(501) 753-4176
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N6020 AR Primary

Addresses

Primary practice location

3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 753-4132

Other identifiers 1

IdentifierTypeStateIssuer
104978001MedicaidAR

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
I20090127000266 AR Practitioner - Family Practice 4082778683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, shared by 52 NPIs, 645 clinicians

Practice addresses (Care Compare)

3201 Springhill Drive
300 Baptist Health Family Medicine Residenc
North Little Rock, AR 72117-2909
Phone (501) 753-4132

757 SE Front St
Baptist Health Family Clinic Lonoke
Lonoke, AR 72086-3025
Phone (501) 266-7265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6020ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Aug 1, 2020 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Aug 25, 2021 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Physicians Network Inc Dba Cabot Medical Clinic Family Medicine Past Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients
Physicians Network Inc. Family Medicine Past Accepting new patients

Locations

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

757 E Front St
Lonoke, AR 72086
Phone (501) 266-7265

3201 Springhill Dr
Ste 300
North Little Rock, AR 72117
Phone (501) 753-4132

3201 Springhill Dr
Ste 30
North Little Rock, AR 72117
Phone (501) 753-4132

Interoperability endpoints

  • Direct secure messaging: astoreygard2058@direct.baptist-healthar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1881690477",
    "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": "501-753-4132",
            "fax_number": "501-753-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SPRINGHILL DR STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172909",
            "telephone_number": "501-753-4132",
            "fax_number": "501-753-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREYGARD",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N6020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104978001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.