Anthony Qualls

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

104 Lock and Dam Rd
Russellville, AR 72802-9725

Phone

(479) 747-5222

NPI assigned

May 1, 2023

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Real Development Corporation

  dba RPI Behavioral Health

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1912695560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-747-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-747-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Annette Pugh, MD
• Pultro & Palmer, P. a.
• Dana Pumphrey, RBT
• Wendy Michelle Pyburn, APRN FNP-C
• Fauzia Qadir, MD
• Audreia Qualls
• Justin Qualls, LPC
• Radiologists of Russellville PA
• Radiology Consultants of Northwest Arkansas
• Ahmad Nadeem Rafi, M.D.

• Case Manager/Care Coordinator in Russellville, AR
• Providers in Russellville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.