ST BERNARDS PHYSICIAN CLINICS, INC.
NPI 1447958855
Dermatology in Jonesboro, AR

Active since February 16, 2023CLIA 04D2137775 · Waiver
800 S CHURCH ST STE 203, JONESBORO, AR 72401(870) 336-0277(870) 932-5699 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1447958855
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameST BERNARDS PHYSICIAN CLINICS, INC.
Location Address800 S CHURCH ST STE 203Jonesboro, AR 72401-4106
Mailing AddressPo Box 1331Jonesboro, AR 72403-1331 · (870) 932-7024 · Fax (870) 930-9377
Fax(870) 932-5699
Organization SubpartNo
Authorized OfficialJohn LieblongPresident · (870) 932-7024
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
NPI 1447958855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
800 S CHURCH ST STE 203, Jonesboro, AR 72401

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

Accepted Insurance

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, AR
Active · expires Dec 3, 2027
CLIA Number04D2137775
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorDr. Mallory D. Hurst
Laboratory Phone(870) 336-0277
Laboratory LocationSt Bernards Physician Clinics, Inc800 S Church Street, Ste 203, Jonesboro, AR 72401
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 2

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

Physician Assistant (Medical)
800 S CHURCH ST STE 203
JONESBORO, AR 72401
Dermatology
800 S CHURCH ST STE 203
JONESBORO, AR 72401

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 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.

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.

What insurance does St Bernards Physician Clinics, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list St Bernards Physician Clinics, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 with the weekly NPPES data releases published by CMS.