DR. JACEY TANNER GUTHRIE M.D.
NPI 1174942528
Dermatology in Little Rock, AR

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
4200 N RODNEY PARHAM RD STE 202, LITTLE ROCK, AR 72212(501) 227-4323(501) 227-4149 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2021, Jul 9, 2018 (2 updates tracked since 2018).

About Dr. Jacey Tanner Guthrie M.d. NPPES

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

DR. JACEY TANNER GUTHRIE M.D. (NPI 1174942528) is an individual dermatology provider in Little Rock, Arkansas, licensed in Arkansas (E-11347) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2014).

NPPES Registry Identity

NPI1174942528
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JACEY TANNER GUTHRIECredential: M.D.
Location Address4200 N RODNEY PARHAM RD STE 202Little Rock, AR 72212
Mailing Address4200 N Rodney Parham Rd Ste 202Little Rock, AR 72212-2460 · (501) 227-4323 · Fax (501) 227-4149
Fax(501) 227-4149
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1174942528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · E-11347
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4200 N RODNEY PARHAM RD STE 202, Little Rock, AR 72212

Secondary Practice Location 1

Location 14018 W Capital AveLittle Rock, AR 72205 · Phone (501) 686-5960 · Fax (501) 296-1120

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacey Tanner Guthrie M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638498298
PECOS Enrollment IDI20180620002338
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,946 services314 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
783 services483 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
690 services407 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
248 services200 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
202 services166 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services157 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72212 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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacey Guthrie's NPI number?

The NPI number for Jacey Guthrie is 1174942528. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Jacey Guthrie located?

Jacey Guthrie practices at 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212. The listed phone number is (501) 227-4323.

What is Jacey Guthrie's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jacey Guthrie enrolled in Medicare?

Yes. Jacey Guthrie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacey Guthrie accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jacey Guthrie 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 Jacey Guthrie was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.