Organization Active NPI

Arkansas Neurology & Epilepsy Center PA

  • Neurology Physician
  • Little Rock, AR
National Provider Identifier
1992822357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C7679 Issued in AR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1467418228MedicaidAR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.