JEFFERSON REGIONAL HEALTHWORKS
NPI 1841235868
Clinic/Center in Pine Bluff, AR
About Jefferson Regional Healthworks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON REGIONAL HEALTHWORKS (NPI 1841235868) is a healthcare organization registered as a clinic/center in Pine Bluff, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Bryan Jackson, Vp/chief Admin Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jefferson Regional Healthworks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Jefferson Regional Healthworks, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 04D0698656
Jefferson Regional Healthworks · Pine Bluff, 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 Jefferson Hospital Association, Inc's NPI number?
The NPI number for Jefferson Hospital Association, Inc is 1841235868. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Jefferson Regional Healthworks.
Where is Jefferson Hospital Association, Inc located?
Jefferson Hospital Association, Inc is located at 4201 S Mulberry St Ste A, Pine Bluff, AR 71603. The listed phone number is (870) 536-6600.
What is Jefferson Hospital Association, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
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), 8 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 Nurse Practitioner (6) and Family Practice (2). Of these, 1 practice at this address and 5 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 of Waiver (number 04D0698656) is associated with this NPI, valid through November 30, 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 Jefferson Hospital Association, Inc was last updated on April 12, 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.
# Jefferson Regional Healthworks · NPI 1841235868
Clinic/Center organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1841235868 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Jefferson Hospital Association, Inc
- **Organization subpart:** No
- **Authorized official:** Bryan Jackson, VP/CHIEF ADMIN OFFICER
## Practice location
- **Address:** 4201 S MULBERRY ST STE A, Pine Bluff, AR 71603-7002
- **Phone:** (870) 536-6600 · **Fax:** (870) 534-1519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2023
- **Other identifiers:** Other 56802 (AR); Other CI2242 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841235868) · Data from the CMS NPPES public registry.