DR. JAMES THEROLD MEREDITH M.D. NPI 1639173420

NPI Information

  • NPI: 1639173420
  • Provider Name: DR. JAMES THEROLD MEREDITH, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 04D0467747
  • Address: 921 HOLIDAY DR
    FORREST CITY, AR
    ZIP 72335
  • Phone: (870) 633-4711

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NPI Details

DR. James Therold Meredith, M.D. is a family medicine in Forrest City, AR with 46 years of experience. The provider is 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. DR. James Therold Meredith, M.D. NPI is 1639173420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1980

The provider's business location address is:

921 HOLIDAY DR
FORREST CITY, AR
ZIP 72335-183
Phone: (870) 633-4711
Fax: (870) 633-4850

The NPI 1639173420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 04D0467747 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of impacted ear wax (HCPCS:69210)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)

The enumeration date for this NPI number is 6/9/2005 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC5727ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113346000000OTHERARKANSASQUALCHOICE
2P01915OTHERARKANSASNOVASYS
3106020002MEDICAIDARKANSAS
4106002001MEDICAIDARKANSAS
5080077472OTHERARKANSASTRICARE
64032439OTHERARKANSASAETNA
7080077472OTHERARKANSASRAILROAD MEDICARE
8172348500OTHERARKANSASUS DEPT OF LABOR WC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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