1501 E Main

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

1501 E MAIN

Doing business as

Gardens of Booneville

Practice address

1501 E Main St
Booneville, AR 72927-4921

Phone

(479) 849-3017

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgia Johnston, RN

Title

President

Phone

(501) 224-0846

Specialties & licenses 1

Addresses

Other names 1

• GARDENS OF BOONEVILLE Doing business as

Locations

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1912805300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHACKLEFORD PLZ STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111886",
            "telephone_number": "501-224-0846",
            "fax_number": "501-224-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274921",
            "telephone_number": "479-849-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1501 E MAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-224-0846",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDENS OF BOONEVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access Medical Clinic Arkansas LLC (Access Medical Podiatry)
• Access Medical Clinic Arkansas LLC
• Sahibzada A Ahmed, M.D.
• Jackson Brett Allen, PHARMD
• Area Agency on Aging of Western Arkansas, Inc

• Community/Behavioral Health Agency in Booneville, AR
• Providers in Booneville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.