ARKANSAS RENAL GROUP PA – NPI #1134404130
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

ARKANSAS RENAL GROUP PA is a provider located in EL DORADO, AR. NPPES has assigned the NPI number 1134404130 to ARKANSAS RENAL GROUP PA on October 21, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on May 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARKANSAS RENAL GROUP PA below.

NPI Profile for
ARKANSAS RENAL GROUP PA

NPI Number
1134404130
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARKANSAS RENAL GROUP PA
Other name(s)
All associated names:
Doing Business As (dba)
South Arkansas Nephrology Associates
Doing Business As (dba)
South Arkansas Nephrology Services
Primary location
620 W GROVE ST STE 101
EL DORADO, AR 71730-4409
Phone: (870) 862-0801 Fax: (870) 862-3687
Mailing address
115 WRIGHTS ST STE C
HOT SPRINGS, AR 71913-6240
Phone: (501) 624-6000 Fax: (501) 321-0710
Organization Subpart
No
Authorized Official
JERRY EDGIN
CEO
Phone: (501) 624-6000
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ARKANSAS RENAL GROUP PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAR190999002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.