OBGYN ASSOCIATES OF SOUTH ARKANSAS
NPI 1669851929
Obstetrics & Gynecology in Pine Bluff, AR

Active since May 20, 2015CLIA 04D0962244 · Microscopy
1600 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7100 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Obgyn Associates Of South Arkansas NPPES

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

OBGYN ASSOCIATES OF SOUTH ARKANSAS (NPI 1669851929) is a healthcare organization registered as an obstetrics & gynecology in Pine Bluff, Arkansas and active in the NPI registry since May 2015. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Brian Thomas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669851929
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJEFFERSON HOSPITAL ASSOCIATION, INC
Location Address1600 W 40TH AVEPine Bluff, AR 71603-6301
Mailing Address1600 W 40th AvePine Bluff, AR 71603-6301 · (870) 541-7100
Organization SubpartYesParent: Jefferson Hospital Association
Authorized OfficialBrian ThomasCeo · (870) 541-7100
Enumeration DateMay 20, 2015
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1669851929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1600 W 40TH AVE, Pine Bluff, AR 71603

Other Names 1

Doing Business AsObgyn Associates Of South Arkansas

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Obgyn Associates Of South Arkansas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Obgyn Associates Of South Arkansas, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Obstetrics/Gynecology7
Nurse Practitioner4

Clinicians, nearest first (11)

Obstetrics/Gynecology
NPI 1760917850
1609 WEST 40TH AVENUE SUITE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1407852734
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1316925613
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 536-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1245612431
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-7211
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1467417394
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1497006217
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1851787089
1609 W 40TH AVE #204
Pine Bluff, AR 71603
(870) 534-3608
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1700833019
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1578822581
4014 OLD WARREN RD
Pine Bluff, AR 71603
(870) 454-4354
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1316501901
110 N DREW ST
Star City, AR 71667
(870) 628-5110
✔ PECOS✔ Accepts Medicare20 mi
Obstetrics/Gynecology
NPI 1104210830
1200 SE 28TH ST STE 2
Bentonville, AR 72712
(479) 271-0005
✔ PECOS✔ Accepts Medicare193 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 04D0962244

Obgyn Associates Of South Arkansas · Pine Bluff, AR
Active · expires Sep 30, 2027
CLIA Number04D0962244
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Amy L. Cahill
Laboratory Phone(870) 534-3608
Laboratory LocationObgyn Associates Of South Arkansas1609 W 40th, Suite 300, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Jefferson Hospital Association, Inc's NPI number?

The NPI number for Jefferson Hospital Association, Inc is 1669851929. It was assigned to this organization in the NPPES registry on May 20, 2015. The provider is doing business as Obgyn Associates Of South Arkansas.

Where is Jefferson Hospital Association, Inc located?

Jefferson Hospital Association, Inc is located at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-7100.

What is Jefferson Hospital Association, Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jefferson Hospital Association, Inc enrolled in Medicare?

Yes. Jefferson Hospital Association, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson Hospital Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Jefferson Hospital Association, 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 Obstetrics/Gynecology (7) and Nurse Practitioner (4). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jefferson Hospital Association, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0962244) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Hospital Association, Inc 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 Jefferson Hospital Association, 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 Jefferson Hospital Association, Inc was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.