JERRY L HARVEY, DO, PA
NPI 1477781680
Clinic/Center - Primary Care in Cabot, AR
About Jerry L Harvey, Do, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY L HARVEY, DO, PA (NPI 1477781680) is a healthcare organization registered as a primary care in Cabot, Arkansas and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Jerry Harvey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry L Harvey, Do, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry L Harvey, Do, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 04D1105415
Jerry L Harvey Do PA · Cabot, 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 Jerry L Harvey, Do, PA's NPI number?
The NPI number for Jerry L Harvey, Do, PA is 1477781680. It was assigned to this organization in the NPPES registry on June 25, 2009.
Where is Jerry L Harvey, Do, PA located?
Jerry L Harvey, Do, PA is located at 15361 Highway 5 Suite E, Cabot, AR 72023. The listed phone number is (501) 605-9355.
What is Jerry L Harvey, Do, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jerry L Harvey, Do, PA enrolled in Medicare?
Yes. Jerry L Harvey, Do, PA is registered in the Medicare PECOS enrollment system.
When is Jerry L Harvey, Do, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jerry L Harvey, Do, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jerry L Harvey, Do, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jerry L Harvey, Do, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1105415) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jerry L Harvey, Do, PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jerry L Harvey, Do, PA 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 Jerry L Harvey, Do, PA was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jerry L Harvey, Do, Pa · NPI 1477781680
Primary Care organization in Cabot, Arkansas. Organization record, active in the CMS NPPES registry since June 25, 2009.
## Identity
- **NPI:** 1477781680 (Entity type: Organization)
- **Enumerated:** June 25, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jerry Harvey, PRESIDENT
## Practice location
- **Address:** 15361 HIGHWAY 5, SUITE E, Cabot, AR 72023-5128
- **Phone:** (501) 605-9355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2009
- **Other identifiers:** Medicaid 125608003 (AR); Medicare UPIN F82105; Other 5J444 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477781680) · Data from the CMS NPPES public registry.