TOMMY RAY MAHAN
NPI 1285909036
Case Manager/Care Coordinator in Center Ridge, AR

Active since March 13, 2012
3693 HWY 92 W, CENTER RIDGE, AR 72027(501) 208-6938 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tommy Ray Mahan NPPES

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

TOMMY RAY MAHAN (NPI 1285909036) is an individual case manager/care coordinator provider in Center Ridge, Arkansas and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1285909036
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTOMMY RAY MAHAN
Location Address3693 HWY 92 WCenter Ridge, AR 72027
Mailing AddressPo Box 15Center Ridge, AR 72027-0015 · (501) 208-6938
Sole ProprietorYes
Enumeration DateMarch 13, 2012
NPI 1285909036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3693 HWY 92 W, Center Ridge, AR 72027

Other Identifiers 1

Medicaid189358783AR

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 Tommy Mahan's NPI number?

The NPI number for Tommy Mahan is 1285909036. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Tommy Mahan located?

Tommy Mahan practices at 3693 Hwy 92 W, Center Ridge, AR 72027. The listed phone number is (501) 208-6938.

What is Tommy Mahan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Tommy Mahan was last updated on March 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.