JAMES T. MEREDITH JR MD PA
NPI 1164491767
Preferred Provider Organization in Forrest City, AR

Active since March 16, 2006
921 HOLIDAY DR, FORREST CITY, AR 72335(870) 633-4711(870) 633-4850 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James T. Meredith Jr Md Pa NPPES

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

JAMES T. MEREDITH JR MD PA (NPI 1164491767) is a healthcare organization registered as a preferred provider organization in Forrest City, Arkansas and active in the NPI registry since March 2006. The organization lists James Therold Meredith, Owner, as its authorized official.

NPPES Registry Identity

NPI1164491767
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameJAMES T. MEREDITH JR MD PA
Location Address921 HOLIDAY DRForrest City, AR 72335-9183
Mailing Address921 Holiday DrForrest City, AR 72335-9183 · (870) 633-4711 · Fax (870) 633-4850
Fax(870) 633-4850
Organization SubpartNo
Authorized OfficialJames Therold MeredithOwner · (870) 633-4711
Enumeration DateMarch 16, 2006
Last NPPES UpdateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1164491767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AR · MC0977
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
921 HOLIDAY DR, Forrest City, AR 72335

Other Identifiers 2

OtherDG5130SC · Railroad Medicare
Medicaid106020002AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James T. Meredith Jr Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to James T. Meredith Jr MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1841804945
921 HOLIDAY DR
Forrest City, AR 72335
(870) 633-4711
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639398571
921 HOLIDAY DR
Forrest City, AR 72335
(870) 633-4711
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639173420
921 HOLIDAY DR
Forrest City, AR 72335
(870) 633-4711
✔ PECOS✔ Accepts MedicareSame address

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 James T. Meredith Jr MD PA's NPI number?

The NPI number for James T. Meredith Jr MD PA is 1164491767. It was assigned to this organization in the NPPES registry on March 16, 2006.

Where is James T. Meredith Jr MD PA located?

James T. Meredith Jr MD PA is located at 921 Holiday Dr, Forrest City, AR 72335. The listed phone number is (870) 633-4711.

What is James T. Meredith Jr MD PA's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is James T. Meredith Jr MD PA enrolled in Medicare?

Yes. James T. Meredith Jr MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James T. Meredith Jr MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to James T. Meredith Jr MD PA, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does James T. Meredith Jr MD PA 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 James T. Meredith Jr MD PA 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 T. Meredith Jr MD PA was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.