Revolution Medical Centers PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REVOLUTION MEDICAL CENTERS PLLC

Practice address

1306 S Caraway Road
Jonesboro, AR 72401

Phone

(870) 203-9269

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Jason InmanNPI 1598310112

Title

Owner

Phone

(870) 203-9269

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Inman, DC

  • Chiropractor
  • Jonesboro, AR
  • NPI 1598310112
  Medicare reassignment NPD Authorized official
• Dane H. Flippin, MD

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1770531766
  Medicare reassignment NPD
• Shana Dawnyale Hessling, FNP-C FNP-BC

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1225768443
  Medicare reassignment NPD
• Loren Craft, DC

  • Chiropractor
  • Jonesboro, AR
  • NPI 1942087838
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1952037590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S CARAWAY ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S CARAWAY ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-203-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION MEDICAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-203-9269"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reviving Touch Corrective Massage, LLC
• Kristin Danielle Reyer, MHPP
• Briana Reynolds, RD, LD
• Brittany Lane Reynolds, MSN, APRN, FNP-C
• Debra Denice Reynolds, LPN
• Jordan Reynolds

• Physical Medicine & Rehabilitation Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.