JONESBORO ORTHOPEDICS AND SPORTS MEDICINE
NPI 1063487809
Orthopaedic Surgery in Jonesboro, AR
About Jonesboro Orthopedics And Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONESBORO ORTHOPEDICS AND SPORTS MEDICINE (NPI 1063487809) is a healthcare organization registered as an orthopaedic surgery in Jonesboro, Arkansas and active in the NPI registry since February 2006. The organization maintains a secondary practice location in Jonesboro and lists Kacey Lynn Davis, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonesboro Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Jonesboro Orthopedics And Sports Medicine, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dickson Orthopedics, P.A.'s NPI number?
The NPI number for Dickson Orthopedics, P.A. is 1063487809. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Jonesboro Orthopedics And Sports Medicine.
Where is Dickson Orthopedics, P.A. located?
Dickson Orthopedics, P.A. is located at 1010 S Main St, Jonesboro, AR 72401. The listed phone number is (870) 932-1820.
What is Dickson Orthopedics, P.A.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Dickson Orthopedics, P.A. enrolled in Medicare?
Yes. Dickson Orthopedics, P.A. is registered in the Medicare PECOS enrollment system.
When is Dickson Orthopedics, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dickson Orthopedics, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Dickson Orthopedics, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (5), Family Practice (2) and Physical Therapist in Private Practice (2). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dickson Orthopedics, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dickson Orthopedics, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dickson Orthopedics, P.A. was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonesboro Orthopedics And Sports Medicine · NPI 1063487809
Orthopaedic Surgery organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1063487809 (Entity type: Organization)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Dickson Orthopedics, P.a.
- **Organization subpart:** No
- **Authorized official:** Kacey Davis, OFFICE MANAGER
## Practice location
- **Address:** 1010 S MAIN ST, Jonesboro, AR 72401-3503
- **Phone:** (870) 932-1820 · **Fax:** (870) 972-6712
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (5), Family Practice (2), Physical Therapist in Private Practice (2); 8 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2023
- **Other identifiers:** Other CE8064 (AR); Medicaid 232042748 (AR); Medicaid 129705002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1063487809) · Data from the CMS NPPES public registry.