Active NPI
Arkansas Neurology & Epilepsy Center PA
- Neurology Physician
- Little Rock, AR
National Provider Identifier
1992822357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- C7679
- Legal business name
- ARKANSAS NEUROLOGY & EPILEPSY CENTER PA
- Practice address
- 5100 W 12TH St
Little Rock, AR 72204-1855 - Phone
- (501) 663-2200
- Fax
- (501) 954-7624
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Willis Courtney Jr., M.D.
- Title
- Owner
- Phone
- (501) 663-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | C7679 | AR | Primary |
Addresses
Primary practice location
5100 W 12TH St
Little Rock, AR 72204-1855
Mailing address
PO Box 56170
Little Rock, AR 72215-6170
Phone (501) 663-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467418228 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
5100 W 12th St
Little Rock, AR 72204
Phone (501) 640-7855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992822357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56170",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722156170",
"telephone_number": "501-663-2200",
"fax_number": "501-954-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041855",
"telephone_number": "501-663-2200",
"fax_number": "501-954-7624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS NEUROLOGY & EPILEPSY CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COURTNEY",
"authorized_official_first_name": "WILLIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-663-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AR",
"license": "C7679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467418228",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Arkansas Maxillofacial Surgery Center
- Arkansas Maxillofacial Surgery Center PLLC
- Arkansas Medical Specialists PC
- Arkansas Military and First Responder Academy
- Arkansas Neurodiagnostic Center, P. a.
- Arkansas Neuropsychology Associates
- Arkansas Neurosurgery Brain & Spine Clinic P.a.
- Arkansas Neurosurgery Brain & Spine Clinic P.a.
- Arkansas OB GYN Associates PLLC
- Arkansas Oculoplastic Surgery, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.