ENDOCRINOLOGY OF SOUTH ARKANSAS
NPI 1306097365
Clinic/Center in White Hall, AR

Active since October 08, 2008CLIA 04D0997860 · Waiver
7500 DOLLARWAY RD, SUITE 404, WHITE HALL, AR 71602(870) 879-9595(870) 879-9599 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endocrinology Of South Arkansas NPPES

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

ENDOCRINOLOGY OF SOUTH ARKANSAS (NPI 1306097365) is a healthcare organization registered as a clinic/center in White Hall, Arkansas and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Walter Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306097365
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJEFFERSON HOSPITAL ASSOCIATION, INC.
Location Address7500 DOLLARWAY RD, SUITE 404White Hall, AR 71602-3027
Mailing Address7500 Dollarway Rd, Suite 404White Hall, AR 71602-3027 · (870) 879-9595 · Fax (870) 879-9599
Fax(870) 879-9599
Organization SubpartNo
Authorized OfficialWalter JohnsonCeo · (870) 541-7269
Enumeration DateOctober 8, 2008
Last NPPES UpdateJanuary 21, 2011
NPI 1306097365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7500 DOLLARWAY RD, White Hall, AR 71602

Other Names 1

Doing Business AsEndocrinology Of South Arkansas

Other Identifiers 3

Medicare PIN5G136AR
Other5G130AR · Blue Cross Blue Shield
Medicaid176263002AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0997860

Endocrinology Of South Arkansas · White Hall, AR
Active · expires Mar 27, 2028
CLIA Number04D0997860
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorMaher Alesali
Laboratory Phone(870) 879-9595
Laboratory LocationEndocrinology Of South Arkansas7500 Dollarway Rd, Suite 404, White Hall, AR 71602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Interventional Cardiology)
7500 DOLLARWAY RD, SUITE 301
WHITE HALL, AR 71602
Occupational Therapist
7500 DOLLARWAY RD, SUITE 301
WHITE HALL, AR 71602
Occupational Therapy Assistant
7500 DOLLARWAY RD, SUITE 203
WHITE HALL, AR 71602
Clinic/Center (Sleep Disorder Diagnostic)
7500 DOLLARWAY RD
WHITE HALL, AR 71602
Anesthesiology (Pain Medicine)
7500 DOLLARWAY RD
WHITE HALL, AR 71602
Occupational Therapist
7500 DOLLARWAY RD, SUITE 301
WHITE HALL, AR 71602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7500 DOLLARWAY RD, SUITE 404
WHITE HALL, AR 71602
Family Medicine
7500 DOLLARWAY RD, SUITE 104
WHITE HALL, AR 71602

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 Jefferson Hospital Association, Inc.'s NPI number?

The NPI number for Jefferson Hospital Association, Inc. is 1306097365. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is doing business as Endocrinology Of South Arkansas.

Where is Jefferson Hospital Association, Inc. located?

Jefferson Hospital Association, Inc. is located at 7500 Dollarway Rd Suite 404, White Hall, AR 71602. The listed phone number is (870) 879-9595.

What is Jefferson Hospital Association, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Jefferson Hospital Association, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0997860) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson Hospital Association, Inc. was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.