Individual provider Active NPI

Floyd A Shurley Jr., M.D.

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1972509040
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5668 Issued in AR
Practice address
1911 N 2ND St
Cabot, AR 72023-2209
Phone
(501) 843-5757
Fax
(501) 843-5700
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5668 AR Primary

Addresses

Primary practice location

1911 N 2ND St
Cabot, AR 72023-2209

Mailing address

PO Box 1265
Cabot, AR 72023-1265
Phone (501) 843-5757

Other names 1

  • Dr. Bo Shurley Jr. Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001513 AR Practitioner - Family Practice 8325949118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5668ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
White County Medical Center CurrentSince May 31, 2018 Accepting new patients
White County Medical Center CurrentSince May 31, 2018 Accepting new patients

Locations

1911 N 2nd St
Cabot, AR 72023
Phone (501) 843-5757

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972509040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720231265",
            "telephone_number": "501-843-5757",
            "fax_number": "501-843-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232209",
            "telephone_number": "501-843-5757",
            "fax_number": "501-843-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURLEY",
        "first_name": "FLOYD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BO",
            "last_name": "SHURLEY",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.