South Arkansas Physician Services LLC
NPI 1427018704ActiveOrganization· Family Medicine· El Dorado, AR
Family Medicine in El Dorado, Arkansas, registered in NPPES in March 2006. The authorized official on file is Jennifer L. Jackson, Sr. Director Provider Enrollment.
Overview
| NPI | 1427018704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2006 |
| Last updated in NPPES | Mar 5, 2022 |
| Certified by provider | Mar 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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