JIMMERSON FAMILY HEALTH CARE P.A. (NPI# 1649496357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649496357 |
| Entity Type | Organization |
| Organization Name | JIMMERSON FAMILY HEALTH CARE P.A. |
| Practice Address |
6917 Geyer Springs Rd Suite 4s Little Rock AR 72209-2727 |
| Practice Telephone | 5015699961 |
| Practice Fax Number | 5015699903 |
| Mailing Telephone | 5015699961 |
| Mailing Fax Number | 5015699903 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. ROBERT TYRAY JIMMERSON II (PHYSICIAN) |
| Authorized Official Telephone | 5015699961 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-1845 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PALMETTOGBA | 080158974 | 01 |
| AR | BCBS | 5K890 | 01 |
| AR | 135241001 | 05 | |
| AETNA | 2451550 | 01 | |
| CIGNA | 2717169 | 01 | |
| AR | QUAL CHOICE | 18321000000 | 01 |
| Street Address |
6917 GEYER SPRINGS RD SUITE 4S |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330209 | Tricia E Decker | Speech-Language Pathologist | 6917 Geyer Springs Rd, Ste 1s, Little Rock, AR 72209 | 2006-03-15 |
| 1083909295 | Complete Pediatrics | Occupational Therapist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209-2727 | 2011-06-15 |
| 1689715492 | Casey Mynn Morris | Speech-Language Pathologist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209-2727 | 2007-02-12 |
| 1144303694 | Laura Kathleen Jennings | Physical Therapist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209-2727 | 2006-10-20 |
| 1720046485 | Effie J Heulitt | Speech-Language Pathologist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209 | 2006-05-03 |
| 1861459158 | Hop Skip and Jump Inc | Occupational Therapist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209 | 2006-04-28 |
| 1215992086 | Jennifer L Overton | Speech-Language Pathologist | 6917 Geyer Springs Rd, Suite 1-s, Little Rock, AR 72209 | 2006-04-17 |
| 1316902158 | Kevin J Binz | Physical Therapist | 6917 Geyer Springs Rd, Suite 1s, Little Rock, AR 72209 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1831709997 | Wound Integrity Arkansas Pa | Family Medicine | 10000 N Rodney Parham Rd, Little Rock, AR 72227-5548 | 2020-08-04 |
| 1235762816 | Cynthia Johnson | Family Medicine | 14201 Kanis Rd Apt 418, Little Rock, AR 72223-4952 | 2020-02-21 |
| 1801246129 | John Freeland Jayroe | Family Medicine | 701 N University Ave Ste 100, Little Rock, AR 72205-2936 | 2016-06-17 |
| 1992154462 | Arkansas Health Group | Family Medicine | 401 W Capitol Ave Ste 101b, Little Rock, AR 72201-3421 | 2016-06-06 |
| 1669867099 | John Allen Cockerell | Family Medicine | 5423 L St, Little Rock, AR 72205-1726 | 2015-04-02 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1790198133 | Muhammad Yusuf | Family Medicine | 4216 Bowman Rd Apt D6, Little Rock, AR 72210-2383 | 2014-06-03 |
| 1598184103 | Stephen A Humbard Md Pa | Family Medicine | 28 Rahling Cir Ste 2, Little Rock, AR 72223-9187 | 2014-04-10 |
| 1215360144 | George Franklin Holitik | Family Medicine | 4617 Stonewall Rd, Little Rock, AR 72207-2053 | 2013-08-14 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.