ST BERNARDS PHYSICIAN CLINICS INC
NPI 1083307896
Obstetrics & Gynecology in Jonesboro, AR

Active since May 29, 2023CLIA 04D2012289 · Microscopy
800 S CHURCH ST STE 302, JONESBORO, AR 72401(870) 935-3990 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St Bernards Physician Clinics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST BERNARDS PHYSICIAN CLINICS INC (NPI 1083307896) is a healthcare organization registered as an obstetrics & gynecology in Jonesboro, Arkansas and active in the NPI registry since May 2023. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists John Lieblong, President, as its authorized official.

NPPES Registry Identity

NPI1083307896
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameST BERNARDS PHYSICIAN CLINICS INC
Location Address800 S CHURCH ST STE 302Jonesboro, AR 72401-4107
Mailing AddressPo Box 1331Jonesboro, AR 72403-1331 · (870) 932-7024 · Fax (870) 930-9377
Organization SubpartNo
Authorized OfficialJohn LieblongPresident · (870) 932-7024
Enumeration DateMay 29, 2023
NPPES CertifiedMay 29, 2023
✔ NPI 1083307896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
800 S CHURCH ST STE 302, Jonesboro, AR 72401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Bernards Physician Clinics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

251

Medicare enrollment records show 251 clinicians reassign Medicare billing to St Bernards Physician Clinics Inc, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner90
Family Practice33
Internal Medicine18
Diagnostic Radiology12
Urology12
Cardiovascular Disease (Cardiology)11
Gastroenterology10
General Surgery10
16 other specialties55

Nearest to this location (20)

See all 251
Neurosurgery
NPI 1215127832
800 S CHURCH ST STE 201
Jonesboro, AR 72401
(870) 934-1462
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1922366004
800 S CHURCH ST STE. 302
Jonesboro, AR 72401
(870) 935-3990
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1699122507
800 S CHURCH ST STE 103
Jonesboro, AR 72401
(870) 333-5145
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194385989
800 S CHURCH ST STE 201
Jonesboro, AR 72401
(870) 934-1462
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1295199099
800 S CHURCH ST STE 302
Jonesboro, AR 72401
(870) 935-3990
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1699086314
800 S CHURCH ST SUITE 302
Jonesboro, AR 72401
(870) 935-3990
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1265430581
800 S CHURCH ST SUITE 302
Jonesboro, AR 72401
(870) 935-3990
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1205806510
800 S CHURCH ST SUITE 302
Jonesboro, AR 72401
(870) 935-3990
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1396162400
800 S CHURCH ST STE 3
Jonesboro, AR 72401
(870) 935-3990
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1710229141
800 S CHURCH ST STE 202
Jonesboro, AR 72401
(870) 336-0277
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770075574
303 E MATTHEWS AVE STE 200
Jonesboro, AR 72401
(870) 207-2926
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1053383174
303 E MATTHEWS AVE SUITE 200
Jonesboro, AR 72401
(870) 932-2926
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1487972527
303 E MATTHEWS AVE STE 100
Jonesboro, AR 72401
(870) 207-2926
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124681465
303 E MATTHEWS AVE STE 202
Jonesboro, AR 72401
(870) 207-7555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467908202
303 E MATTHEWS AVE STE 202
Jonesboro, AR 72401
(870) 207-7555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538825443
303 E MATTHEWS AVE STE 100
Jonesboro, AR 72401
(870) 207-2926
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588304927
105 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 972-0032
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1366602880
201 E OAK AVE
Jonesboro, AR 72401
(870) 935-6729
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1962407940
201 E OAK AVE
Jonesboro, AR 72401
(870) 935-6729
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1851324446
201 E OAK AVE
Jonesboro, AR 72401
(870) 935-6729
✔ PECOS✔ Accepts Medicare0.1 mi
See all 251 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2012289

St Bernards Physician Clinics, Inc · Jonesboro, AR
Active · expires Aug 31, 2028
CLIA Number04D2012289
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAndrew Dunham
Laboratory Phone(870) 935-3990
Laboratory LocationSt Bernards Physician Clinics, Inc800 South Church Ste 302, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 St Bernards Physician Clinics Inc's NPI number?

The NPI number for St Bernards Physician Clinics Inc is 1083307896. It was assigned to this organization in the NPPES registry on May 29, 2023.

Where is St Bernards Physician Clinics Inc located?

St Bernards Physician Clinics Inc is located at 800 S Church St Ste 302, Jonesboro, AR 72401. The listed phone number is (870) 935-3990.

What is St Bernards Physician Clinics Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is St Bernards Physician Clinics Inc enrolled in Medicare?

Yes. St Bernards Physician Clinics Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Bernards Physician Clinics Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 251 clinicians in 24 Medicare specialties reassign their Medicare billing to St Bernards Physician Clinics Inc. 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 Nurse Practitioner (90), Family Practice (33) and Internal Medicine (18). Of these, 12 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Bernards Physician Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2012289) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Bernards Physician Clinics Inc was last updated on May 29, 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.