SOUTHERN ARKANSAS WOUND AND FOOT CARE PLLC
NPI 1114865151
Nurse Practitioner - Gerontology in Smackover, AR
About Southern Arkansas Wound And Foot Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ARKANSAS WOUND AND FOOT CARE PLLC (NPI 1114865151) is a healthcare organization registered as a gerontology in Smackover, Arkansas and active in the NPI registry since March 2026. The organization lists Thomas C Head, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Arkansas Wound And Foot Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Arkansas Wound And Foot Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southern Arkansas Wound And Foot Care PLLC's NPI number?
The NPI number for Southern Arkansas Wound And Foot Care PLLC is 1114865151. It was assigned to this organization in the NPPES registry on March 23, 2026.
Where is Southern Arkansas Wound And Foot Care PLLC located?
Southern Arkansas Wound And Foot Care PLLC is located at 4450 Smackover Hwy, Smackover, AR 71762. The listed phone number is (870) 814-0018.
What is Southern Arkansas Wound And Foot Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Southern Arkansas Wound And Foot Care PLLC enrolled in Medicare?
Yes. Southern Arkansas Wound And Foot Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Arkansas Wound And Foot Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southern Arkansas Wound And Foot Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Arkansas Wound And Foot Care PLLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Southern Arkansas Wound And Foot Care Pllc · NPI 1114865151
Gerontology organization in Smackover, Arkansas. Organization record, active in the CMS NPPES registry since March 23, 2026.
## Identity
- **NPI:** 1114865151 (Entity type: Organization)
- **Enumerated:** March 23, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Thomas Head, OWNER
## Practice location
- **Address:** 4450 SMACKOVER HWY, Smackover, AR 71762-9533
- **Phone:** (870) 814-0018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114865151) · Data from the CMS NPPES public registry.