NPIMap

Organization Active NPI

Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
National Provider Identifier
1972280022
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972280022. Details of each certification follow.

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
LLCProprietary
Enrollment address
610 Shepherd Way
Searcy, AR 72143-6873

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Urgent Team of Ar Phys LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

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 DirectorController Dec 3, 2024
W-2 Managing EmployeeController Dec 3, 2024
Rudy L Blank Individual Corporate DirectorCfo Oct 1, 2017
Chad Leon Sherwood Individual 5% Or Greater Direct Ownership InterestPresident Jun 5, 2024
Corporate DirectorPresident Jun 5, 2024
Kaylan Kirby Individual W-2 Managing EmployeeBilling Manager Oct 1, 2017
Crystal Gibson Individual W-2 Managing EmployeeCredentialing Manager Jun 6, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1972280022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2009",
            "fax_number": "615-250-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SHEPHERD DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436873",
            "telephone_number": "501-268-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT TEAM OF ARKANSAS PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-988-2004"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.