Active NPI
Jill Thomas
- Gerontology Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A004022
- Practice address
- 12120 Colonel Glenn Rd
Little Rock, AR 72210 - Phone
- (501) 296-9043
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A004022 | AR | Primary |
Addresses
Primary practice location
12120 Colonel Glenn Rd
Little Rock, AR 72210
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
Hospital & facility affiliations
- Stat Home Health - Cenark, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004022 | AR | MD | Gerontology Nurse Practitioner |
Practice roles
Locations
871 W Main St
Booneville, AR 72927
Phone (479) 675-4100
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970
1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424
2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100
4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820
1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
333 Melody Dr
Trumann, AR 72472
Phone (870) 275-4068
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jill.thomas.1@29938.direct.athenahealth.com
Organizations & group practices 15
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.
-
- Rural Health Clinic/Center
- Malvern, AR
- NPI 1215773262
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1578007647
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1548661200
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1205804481
-
- Rural Health Clinic/Center
- Ash Flat, AR
- NPI 1699097436
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1205081437
-
- Psychiatric/Mental Health Nurse Practitioner
- Jonesboro, AR
- NPI 1447817572
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Rural Health Clinic/Center
- Searcy, AR
- NPI 1174235964
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
-
- Rural Health Clinic/Center
- Weiner, AR
- NPI 1114578929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Little Rock, AR
- NPI 1912464009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1942626619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "337-991-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12120 COLONEL GLENN RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72210",
"telephone_number": "501-296-9043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A004022",
"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 Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.