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JAMES G SHERIDAN M.D.
NPI 1154339752
Family Medicine in Piggott, AR

Active since August 03, 2006PECOS Enrolled
425 W JACKSON ST, PIGGOTT, AR 72454(870) 598-2236(870) 598-3080 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James G Sheridan M.d. NPPES

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

JAMES G SHERIDAN M.D. (NPI 1154339752) is an individual family medicine provider in Piggott, Arkansas, licensed in Arkansas (R3095) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154339752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES G SHERIDANCredential: M.D.
Location Address425 W JACKSON STPiggott, AR 72454-1538
Mailing Address425 W Jackson StPiggott, AR 72454-1538 · (870) 598-2236 · Fax (870) 598-3080
Phone(870) 598-2236
Fax(870) 598-3080
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154339752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AR · R3095✔ Licensed in MO · R8C74
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
425 W JACKSON ST, Piggott, AR 72454
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Other Identifiers 4

Medicare ID-Type Unspecified54801AR · Medicare
Medicaid101514001AR
Medicaid201661709MO
Medicare UPINA11267AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Sheridan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Sheridan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piggott Community Hospital
0.8 mi
Emergency Medical Services
1206 GORDON DUCKWORTH DR
Piggott, AR 72454
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1891781837 (Arkansas)
  • 38 clinicians in this Medicare group
NPI 1871555185 (870) 598-3881

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims29 services$5.38 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
3 suppliers14 claims14 services$3.23 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers16 claims64 services$5.53 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers19 claims605 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers21 claims705 services$0.21 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$46.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY WAYNE MALLARD M.D.
Family Medicine
425 W JACKSON ST
PIGGOTT, AR 72454
Clay County (870) 598-2236
MEGAN RATHEL CNP
Nurse Practitioner (Family)
425 W JACKSON ST
PIGGOTT, AR 72454
Clay County (870) 568-2236
DOCTORS HEALTH GROUP, INC
Family Medicine
425 W JACKSON ST
PIGGOTT, AR 72454
Clay County (870) 598-2236
DENNIS N BLAKE M.D.
Family Medicine
425 W JACKSON ST
PIGGOTT, AR 72454
Clay County (870) 598-2236

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 James Sheridan's NPI number?

The NPI number for James Sheridan is 1154339752. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is James Sheridan located?

James Sheridan practices at 425 W Jackson St, Piggott, AR 72454. The listed phone number is (870) 598-2236.

What is James Sheridan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Sheridan enrolled in Medicare?

Yes. James Sheridan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sheridan reassigns Medicare benefits to Piggott Community Hospital (Piggott, AR). The 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 James Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Sheridan 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 4 other insurers list James Sheridan 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 James Sheridan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.