Jody A Barham, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A03610 Issued in AR

Practice address

2118 N State Line Ave
Texarkana, AR 71854-3583

Phone

(870) 703-7764

NPI assigned

Oct 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Supportive Care of Texas PCGroup PAC ID 1658744503, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: jody.barham.1@15024.direct.athenahealth.com
• Direct secure messaging: jody.barham.1@2424.direct.athenahealth.com
• Direct secure messaging: jody.barham@aphw.eclinicaldirectplus.com
• Direct secure messaging: jody.barham.1@29938.direct.athenahealth.com

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.

• Supportive Care of Texas PC

  • Nurse Practitioner
  • Garland, TX
  • NPI 1174247126

  TX

  Medicare reassignment Care Compare group NPD
• Appello Health and Wellness Clinic, LLC

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1215773262

  AR

  Medicare reassignment Care Compare group NPD (past)
• East Texas Border Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1093186249

  AR

  Medicare reassignment NPD
• Experience Counseling Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hope, AR
  • NPI 1659035616

  AR

  Medicare reassignment NPD
• CS Pacs 3 Southwest, LLC

  • Hospitalist Physician
  • Baytown, TX
  • NPI 1275398430

  AR, TX

  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587

  AR

  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Texas PLLC

  • Hospitalist Physician
  • Addison, TX
  • NPI 1194174201

  TX

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  AR, TX

  Medicare reassignment NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Care Compare group NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Care Compare group NPD
• Riverview Behavioral Health, LLC

  • Psychiatric Hospital
  • Texarkana, AR
  • NPI 1417199225

  AR

  Medicare reassignment

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1992081491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583",
            "telephone_number": "870-703-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 E 35th St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718542746",
            "country_code": "US",
            "telephone_number": "870-216-0080",
            "fax_number": "870-216-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541515",
            "country_code": "US",
            "telephone_number": "870-773-0700",
            "fax_number": "870-773-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "JODY",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A03610",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A003610",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace L Baird, APRN, FNP-C
• Paul D. Baker, D.C.
• Elizabeth Balderas
• Byron K Banks, LPE
• Amy Rebecca Barfield, DDS
• Dianna Sharae Barnes, FNP-C
• Robin Janelle Barnes, LCSW
• Barnett Wellness, PLLC
• Branden L Barnett
• Grant Michael Barnett, MNSC, APRN, PMHNP-BC

• All providers in Texarkana, AR
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.

Verify at the official NPI Registry.