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DRS. TISDALE & CLARK PATHOLOGISTS
NPI 1376590083
Pathology - Anatomic Pathology & Clinical Pathology in Pine Bluff, AR

Active since May 28, 2006
1600 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7524(870) 541-7543 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2016, Dec 17, 2015 (2 updates tracked since 2015).

About Drs. Tisdale & Clark Pathologists NPPES

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

DRS. TISDALE & CLARK PATHOLOGISTS (NPI 1376590083) is a healthcare organization registered as an anatomic pathology & clinical pathology in Pine Bluff, Arkansas and active in the NPI registry since May 2006. The organization lists Julie A Harris, Partner, as its authorized official.

NPPES Registry Identity

NPI1376590083
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTH ARKANSAS PATHOLOGY, PLLC
Location Address1600 W 40TH AVEPine Bluff, AR 71603-6301
Mailing Address1600 W 40th AvePine Bluff, AR 71603-6301 · (870) 541-7524 · Fax (870) 541-7543
Phone(870) 541-7524
Fax(870) 541-7543
Organization SubpartYesParent: Pine Bluff Pathologists
Authorized OfficialJulie A HarrisPartner · (870) 541-7524
Enumeration DateMay 28, 2006
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
✔ NPI 1376590083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1600 W 40TH AVE, Pine Bluff, AR 71603
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Other Names 1

Other NameDrs. Tisdale & Clark Pathologists

Other Identifiers 3

Other770093502AR · Breastcare
Medicaid110247002AR
Other57283AR · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drs. Tisdale & Clark Pathologists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Drs. Tisdale & Clark Pathologists, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Julie Harris
Pathology
NPI 1760676860
1600 W 40TH AVE
Pine Bluff, AR 71603
(870) 541-7524
✔ PECOS✔ Accepts Medicare0.1 mi
Kari Hooper, MD
Pathology
NPI 1760681381
225 NE 97TH ST STE 600
Oklahoma City, OK 73114
(405) 891-3760
✔ PECOS✔ Accepts Medicare326 mi

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 South Arkansas Pathology, PLLC's NPI number?

The NPI number for South Arkansas Pathology, PLLC is 1376590083. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is also known as Drs. Tisdale & Clark Pathologists.

Where is South Arkansas Pathology, PLLC located?

South Arkansas Pathology, PLLC is located at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-7524.

What is South Arkansas Pathology, PLLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is South Arkansas Pathology, PLLC enrolled in Medicare?

Yes. South Arkansas Pathology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Arkansas Pathology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to South Arkansas Pathology, PLLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Arkansas Pathology, PLLC was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.