Individual provider Active NPI

James A Henry, M.D.

  • Family Medicine Physician
  • Clarksville, AR
National Provider Identifier
1982165692
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E16699 Issued in AR
Practice address
Clarksville Medical Group, PA
601 W McKennon St
Clarksville, AR 72830
Phone
(479) 754-8384
Fax
(479) 754-7141
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S8045 TX
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E16699 AR Primary

Addresses

Primary practice location

Clarksville Medical Group, PA
601 W McKennon St
Clarksville, AR 72830

Mailing address

PO Box 668
Clarksville, AR 72830
Phone (479) 754-8384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210602003096 TX Practitioner - Family Practice 7911306444 Reassigns benefits to 5 organizations
I20230816002775 AR Practitioner - Family Practice 7911306444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Medical Group, P.a.Group PAC ID 1254405970, 6 clinicians

Practice addresses (Care Compare)

601 W McKennon St
Clarksville, AR 72830-3523
Phone (479) 754-8384

Hospital & facility affiliations

  • Trinity River Valley Home Health Home health agency, Russellville, AR, CCN 047032
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E16699ARMDFamily Medicine Physician
S8045TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Medical Group, P.a. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Clarksville Medical Group, P.a. CurrentSince Sep 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 24, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 24, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine Current Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

601 W McKennon St
Clarksville, AR 72830
Phone (479) 754-5393

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFHAA
  • Direct secure messaging: james.henry.1@7504.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7504/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1982165692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "72830",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLARKSVILLE MEDICAL GROUP, PA",
            "address_2": "601 W MCKENNON ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "72830",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-09-18",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8045",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E16699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.