Active NPI
Heidi Dawn Meredith, MD
- Emergency Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-15709
- Practice address
- 1701 S Shackleford Rd
Little Rock, AR 72211 - Phone
- (501) 219-7000
- NPI assigned
- Mar 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Sherwood, AR
- NPI 1205458189
AR, Emergency Medicine
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, Emergency Medicine
-
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1790775229
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Emergency Physicians LLCArkansas Heart Hospital LLCShiloh Emergency Group PLLC
Practice addresses (Care Compare)
1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555
1701 S Shackleford Rd
Little Rock, AR 72211-4335
4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300
7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860
Hospital & facility affiliations
- Arkansas Heart Hospital-Encore
- Arkansas Heart Hospital, LLC
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712003059 | AR | Practitioner - Emergency Medicine | 4688096803 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-15709 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Shiloh Emergency Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Past | Accepting new patients |
Locations
1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555
1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1701 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 219-7000
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | E-15709 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1701 S Shackleford Rd
Little Rock, AR 72211
Mailing address
1901 Encore Way
Bryant, AR 72019-8896
Phone (501) 213-4500
Other practice location 1
1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2023.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1972131670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ENCORE WAY",
"city": "BRYANT",
"state": "AR",
"postal_code": "720198896",
"telephone_number": "501-213-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72211",
"telephone_number": "501-219-7000"
}
],
"practiceLocations": [
{
"address_1": "1901 Encore Way",
"address_purpose": "LOCATION",
"city": "Bryant",
"state": "AR",
"postal_code": "72019",
"country_code": "US",
"telephone_number": "501-213-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEREDITH",
"first_name": "HEIDI",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-29",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-15709",
"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 Jul 11, 2023; 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.