Urgent Team of Arkansas Physicians, LLC

Organization Active NPI Rural Health Clinic/Center · Searcy, AR

NPI 1972280022 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1972280022
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
URGENT TEAM OF ARKANSAS PHYSICIANS, LLC
Practice address
610 Shepherd Dr
Searcy, AR 72143-6873
Phone
(501) 268-6831
NPI assigned
Jun 30, 2023
Organization subpart
No

Authorized official

Name
Stephanie Hicks
Title
Controller
Phone
(615) 988-2004

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 156

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

View all 156

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Rural health clinic certification: CCN 043930

Legal name
URGENT TEAM OF ARKANSAS PHYSICIANS LLC
Doing business as
SHERWOOD URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 20, 2023
Last certification
Oct 20, 2023
Ownership / control type
1B
Organization structure
LLC · Proprietary
Enrollment address
610 Shepherd Way
Searcy, AR 72143-6873

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephanie Hicks
Individual
Corporate Director
Controller
Dec 3, 2024
W-2 Managing Employee
Controller
Dec 3, 2024
Rudy L Blank
Individual
Corporate Director
Cfo
Oct 1, 2017
Chad Leon Sherwood
Individual
5% Or Greater Direct Ownership Interest
President
Jun 5, 2024
Corporate Director
President
Jun 5, 2024
Kaylan Kirby
Individual
W-2 Managing Employee
Billing Manager
Oct 1, 2017
Crystal Gibson
Individual
W-2 Managing Employee
Credentialing Manager
Jun 6, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230718003178 AR Part a Provider - Rural Health Clinic 1850539198 Practice locations: Searcy, AR

National Provider Directory

Tax ID family
Urgent Team of Ar Phys LLC (4 organizations share this tax ID)

Locations

610 Shepherd Dr
Searcy, AR 72143
Phone (501) 268-6831

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

610 Shepherd Dr
Searcy, AR 72143-6873

Mailing address

30 Burton Hills Blvd Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2009

Other providers in Searcy, AR

All providers in Searcy, AR · Rural Health Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.