NPIMap

Organization Active NPI

Southern Regional Anesthesiology Consultants PLLC

  • Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1902231673
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E2798 Issued in AR
Legal business name
SOUTHERN REGIONAL ANESTHESIOLOGY CONSULTANTS PLLC
Practice address
1 Saint Vincent Cir Ste 260
Little Rock, AR 72205-5421
Phone
(501) 552-4677
NPI assigned
Sep 12, 2013
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Teri Kerr
Title
Business Manager
Phone
(501) 664-4532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E2798 AR Primary

Addresses

Primary practice location

1 Saint Vincent Cir Ste 260
Little Rock, AR 72205-5421

Mailing address

1 Saint Vincent Cir Ste 260
Little Rock, AR 72205-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140318000757 AR Part B Supplier - Clinic/Group Practice 2961633870 Receives reassigned benefits from 123 practitioners
Practice locations: Sherwood, AR; Morrilton, AR; Little Rock, AR

National Provider Directory

National Provider Directory

Locations

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

500 S University Ave
Ste 815
Little Rock, AR 72205
Phone (501) 663-8900

6119 Midtown Ave
Ste 201
Little Rock, AR 72205
Phone 5016644532113

Practitioners & affiliated clinicians

Practitioners 128

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 128

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1902231673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 260",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 260",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055421",
            "telephone_number": "501-552-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REGIONAL ANESTHESIOLOGY CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "501-664-4532"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E2798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.