NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
NPI 1417721689
Clinic/Center - Radiology, Mobile Mammography in Jonesboro, AR
About Northeast Arkansas Clinic Charitable Foundation, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. (NPI 1417721689), doing business as Nea Baptist Mobile Health Unit, is a healthcare organization registered as a radiology, mobile mammography in Jonesboro, Arkansas and active in the NPI registry since November 2023. The organization lists Gregory M Duckett, Sr Vp/chief Legal Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Arkansas Clinic Charitable Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
438Medicare enrollment records show 438 clinicians reassign Medicare billing to Northeast Arkansas Clinic Charitable Foundation, Inc., which bills Medicare for the services they deliver. Of these, 17 practice at this address and 223 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 46
Nearest to this location (20)
See all 438Source: 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 Northeast Arkansas Clinic Charitable Foundation, Inc.'s NPI number?
The NPI number for Northeast Arkansas Clinic Charitable Foundation, Inc. is 1417721689. It was assigned to this organization in the NPPES registry on November 8, 2023. The provider is doing business as NEA Baptist Mobile Health Unit.
Where is Northeast Arkansas Clinic Charitable Foundation, Inc. located?
Northeast Arkansas Clinic Charitable Foundation, Inc. is located at 4800 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (870) 936-8000.
What is Northeast Arkansas Clinic Charitable Foundation, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile Mammography, with taxonomy code 261QR0207X.
Is Northeast Arkansas Clinic Charitable Foundation, Inc. enrolled in Medicare?
Yes. Northeast Arkansas Clinic Charitable Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Arkansas Clinic Charitable Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 46 Medicare specialties reassign their Medicare billing to Northeast Arkansas Clinic Charitable Foundation, Inc.. 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. The largest specialties are Nurse Practitioner (98), Diagnostic Radiology (56) and Internal Medicine (50). Of these, 17 practice at this address and 223 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 Northeast Arkansas Clinic Charitable Foundation, Inc. was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Northeast Arkansas Clinic Charitable Foundation, Inc. · NPI 1417721689
Radiology, Mobile Mammography organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since November 8, 2023.
## Identity
- **NPI:** 1417721689 (Entity type: Organization)
- **Enumerated:** November 8, 2023
- **Primary specialty:** Clinic/Center - Radiology, Mobile Mammography · taxonomy 261QR0207X
- **Also known as:** NEA Baptist Mobile Health Unit (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gregory Duckett, SR VP/CHIEF LEGAL OFFICER
## Practice location
- **Address:** 4800 E JOHNSON AVE, Jonesboro, AR 72405-8413
- **Phone:** (870) 936-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 438 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (98), Diagnostic Radiology (56), Internal Medicine (50); 17 practice at this address and 223 within 10 miles; [full list](https://npiprofile.com/npi/1417721689/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417721689) · Data from the CMS NPPES public registry.