Active NPI
Jeffrey M. Pyne, MD
- Psychiatry Physician
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-2208
- Practice address
- 2200 Fort Roots Dr
Slot 152/NLR
North Little Rock, AR 72114-1709 - Phone
- (501) 257-1083
- Fax
- (501) 257-1844
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-2208 | AR | Primary |
Addresses
Primary practice location
2200 Fort Roots Dr
Slot 152/NLR
North Little Rock, AR 72114-1709
Mailing address
13805 Fern Valley LN
Little Rock, AR 72211-4421
Phone (501) 257-1083
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Minnesota Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Arkansas Family Health Center, Inc
Practice addresses (Care Compare)
900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-2208 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1992881684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13805 FERN VALLEY LN",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114421",
"telephone_number": "501-257-1083",
"fax_number": "501-257-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FORT ROOTS DR",
"address_2": "SLOT 152/NLR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721141709",
"telephone_number": "501-257-1083",
"fax_number": "501-257-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYNE",
"first_name": "JEFFREY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.