ARKANSAS RENAL GROUP PA – NPI #1922769322
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.

Health Care Provider Taxonomy Code for Internal Medicine

ARKANSAS RENAL GROUP PA is a provider located in RUSSELLVILLE, AR. NPPES has assigned the NPI number 1922769322 to ARKANSAS RENAL GROUP PA on January 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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
1922769322
Enumeration Date

(more than 4 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
Primary location
111 SKYLINE DR
RUSSELLVILLE, AR 72801-3363
Phone: (501) 624-6000 Fax: (501) 321-0710
Mailing address
115 WRIGHTS ST STE C
HOT SPRINGS, AR 71913-6240
Phone: (501) 624-6000 Fax: (501) 321-0710
Organization Subpart
Yes - ARKANSAS RENAL GROUP PA is subpart of another organization.
Authorized Official
JERRY EDGIN
CHIEF EXECUTIVE OFFICER
Phone: (501) 624-6000
Updated
Certification Date
Jan 07, 2022

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.

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.