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GPN JACKSONVILLE LLC
NPI 1376812487
Emergency Medicine in Jacksonville, AR

Active since December 19, 2011
1400 BRADEN ST, ER DEPT, JACKSONVILLE, AR 72076(501) 985-7315 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gpn Jacksonville Llc NPPES

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

GPN JACKSONVILLE LLC (NPI 1376812487) is a healthcare organization registered as an emergency medicine in Jacksonville, Arkansas and active in the NPI registry since December 2011. The organization lists Samuel D Huckabee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376812487
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGPN JACKSONVILLE LLC
Location Address1400 BRADEN ST, ER DEPTJacksonville, AR 72076-3721
Mailing AddressPo Box 3925Shreveport, LA 71133-3925 · (800) 684-0052
Phone(501) 985-7315
Organization SubpartNo
Authorized OfficialSamuel D HuckabeeCeo · (318) 629-5349
Enumeration DateDecember 19, 2011
Last NPPES UpdateAugust 27, 2012
✔ NPI 1376812487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1400 BRADEN ST, Jacksonville, AR 72076
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Other Identifiers 4

Medicare PIN5GA32AR
Medicaid191242002AR
OtherDS4118Railroad Mcare
Other616847700Dept Of Labor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

UNITY HEALTH - JACKSONVILLE
Clinic/Center (Radiology)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
DR. GEORGE THOMPSON GRAY III D.O.
Family Medicine
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
JACKSONVILLE EMERGENCY MEDICINE LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
RITA MARGARET ODOM NP
Nurse Practitioner (Acute Care)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (800) 893-9698
MONTE DOUGLAS PA-C
Physician Assistant
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 241-1676
UNITY HEALTH - JACKSONVILLE
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
JABBAR JOSHUA
Family Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
PULASKI EMERGENCY GROUP LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000

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 Gpn Jacksonville LLC's NPI number?

The NPI number for Gpn Jacksonville LLC is 1376812487. It was assigned to this organization in the NPPES registry on December 19, 2011.

Where is Gpn Jacksonville LLC located?

Gpn Jacksonville LLC is located at 1400 Braden St ER Dept, Jacksonville, AR 72076. The listed phone number is (501) 985-7315.

What is Gpn Jacksonville LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Gpn Jacksonville LLC was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.