| Neurology Associates Of Northeast Arkansas Pa | |
|
1107 E Matthews Ave Suite 200 Jonesboro AR 72401-4315 | |
| (870) 931-4442 | |
| (870) 802-0205 |
| Full Name | Neurology Associates Of Northeast Arkansas Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1107 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Ron E South (PRESIDENT) |
| Authorized Official Contact | 8709314442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Northeast Arkansas Pa 1107 E Matthews Ave Suite 200 Jonesboro AR 72401-4315 Ph: (870) 931-4442 | Neurology Associates Of Northeast Arkansas Pa 1107 E Matthews Ave Suite 200 Jonesboro AR 72401-4315 Ph: (870) 931-4442 |
| NPI Number | 1174585061 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 07/06/2011 |
| Medicare PECOS PAC ID | 6507885191 |
|---|---|
| Medicare Enrollment ID | O20051114000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174585061 | NPI | - | NPPES |
| 143512002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mario Cauli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043273568 PECOS PAC ID: 2567454184 Enrollment ID: I20040401001366 |
| Provider Name | Ronald E South |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457314577 PECOS PAC ID: 8123175908 Enrollment ID: I20090414000261 |
| Provider Name | Lindsey B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275014409 PECOS PAC ID: 6002168317 Enrollment ID: I20181016000895 |
| Provider Name | Jessica S Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831850130 PECOS PAC ID: 8729471073 Enrollment ID: I20220208002997 |
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