PHYSICIAN'S MANAGEMENT GROUP NPI 1871756437

NPI Information

  • NPI: 1871756437
  • Provider Name: PHYSICIAN'S MANAGEMENT GROUP
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • CLIA Number: 04D2042678
  • Address: 2520 W MAIN ST
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 982-0528

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NPI Details

PHYSICIAN'S MANAGEMENT GROUP is an intellectual and developmental disabilities in Jacksonville, AR. PHYSICIAN'S MANAGEMENT GROUP NPI is 1871756437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2520 W MAIN ST
JACKSONVILLE, AR
ZIP 72076-214
Phone: (501) 982-0528
Fax: (501) 985-7777

The provider's authorized official is Robert Farrell .
The authorized official title is Ceo and has the following contact phone number (501) 663-4204.

The CLIA number assigned to this NPI record is 04D2042678 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesC5129ARKANSASYes

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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