ST BERNARDS PHYSICIAN CLINICS, INC.
NPI 1447958855
Dermatology in Jonesboro, AR
About St Bernards Physician Clinics, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST BERNARDS PHYSICIAN CLINICS, INC. (NPI 1447958855) is a healthcare organization registered as a dermatology in Jonesboro, Arkansas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists John Lieblong, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
St Bernards Physician Clinics, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
251Medicare enrollment records show 251 clinicians reassign Medicare billing to St Bernards Physician Clinics, Inc., which bills Medicare for the services they deliver. Of these, 12 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 251Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 04D2137775
St Bernards Physician Clinics, Inc · Jonesboro, ARFrequently 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 St Bernards Physician Clinics, Inc.'s NPI number?
The NPI number for St Bernards Physician Clinics, Inc. is 1447958855. It was assigned to this organization in the NPPES registry on February 16, 2023.
Where is St Bernards Physician Clinics, Inc. located?
St Bernards Physician Clinics, Inc. is located at 800 S Church St Ste 203, Jonesboro, AR 72401. The listed phone number is (870) 336-0277.
What is St Bernards Physician Clinics, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is St Bernards Physician Clinics, Inc. enrolled in Medicare?
Yes. St Bernards Physician Clinics, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Bernards Physician Clinics, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 251 clinicians in 24 Medicare specialties reassign their Medicare billing to St Bernards Physician Clinics, 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 (90), Family Practice (33) and Internal Medicine (18). Of these, 12 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Bernards Physician Clinics, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2137775) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St Bernards Physician Clinics, Inc. was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# St Bernards Physician Clinics, Inc. · NPI 1447958855
Dermatology organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since February 16, 2023.
## Identity
- **NPI:** 1447958855 (Entity type: Organization)
- **Enumerated:** February 16, 2023
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** John Lieblong, PRESIDENT
## Practice location
- **Address:** 800 S CHURCH ST STE 203, Jonesboro, AR 72401-4106
- **Phone:** (870) 336-0277 · **Fax:** (870) 932-5699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 251 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (90), Family Practice (33), Internal Medicine (18); 12 practice at this address and 156 within 10 miles; [full list](https://npiprofile.com/npi/1447958855/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447958855) · Data from the CMS NPPES public registry.