Active NPI
Robert Terrell III, PA
- Physician Assistant
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-611
- Practice address
- 600 S McKinley St
Little Rock, AR 72205-5202 - Phone
- (501) 663-3647
- Fax
- (501) 666-9653
- NPI assigned
- Apr 10, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-611 | AR | Primary |
Addresses
Primary practice location
600 S McKinley St
Little Rock, AR 72205-5202
Mailing address
600 S McKinley St
Little Rock, AR 72205-5202
Phone (501) 663-3647
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150422000144 | AR | Practitioner - Physician Assistant | 7517285687 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthcare Express, LLP
Practice addresses (Care Compare)
11819 Maumelle Blvd
North Little Rock, AR 72113-6567
Phone (501) 771-9355
125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355
1554 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 500-1012
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 71.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Express, LLP | Current | Accepting new patients | |
| Healthcare Express, LLP | Current | Accepting new patients | |
| Arkansas Specialty Care Centers PA | Past | Accepting new patients | |
| Orthoarkansas, PA | Past | Accepting new patients | |
| Healthcare Express, LLP | Past | Accepting new patients |
Locations
1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 518-0018
11819 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 771-9355
1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012
125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355
3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Dequeen, AR
- NPI 1487149985
-
- Family Medicine Physician
- Choctaw, OK
- NPI 1033666151
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1245770254
-
- Multi-Specialty Clinic/Center
- Texarkana, TX
- NPI 1427120310
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1639574130
-
- Family Medicine Physician
- Longview, TX
- NPI 1891010310
-
- Physical Therapy Clinic/Center
- Texarkana, TX
- NPI 1881101996
-
- Orthopaedic Surgery of the Spine Physician
- Little Rock, AR
- NPI 1760650592
-
- Specialist
- Little Rock, AR
- NPI 1952336869
-
- Family Medicine Physician
- Wake Village, TX
- NPI 1790920593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1962898460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S MCKINLEY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055202",
"telephone_number": "501-663-3647",
"fax_number": "501-666-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S MCKINLEY ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055202",
"telephone_number": "501-663-3647",
"fax_number": "501-666-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "ROBERT",
"name_suffix": "III",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-10",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-611",
"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 Jun 23, 2015; 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.