1. Home
  2. Directory
  3. Arkansas
  4. Russellville
  5. Internal Medicine
  6. NPI Profile

ARKANSAS RENAL GROUP PA
NPI 1922769322
Internal Medicine - Nephrology in Russellville, AR

Active since January 07, 2022
111 SKYLINE DR, RUSSELLVILLE, AR 72801(501) 624-6000(501) 321-0710 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arkansas Renal Group Pa NPPES

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

ARKANSAS RENAL GROUP PA (NPI 1922769322), doing business as Russellville Nephrology, is a healthcare organization registered as a nephrology in Russellville, Arkansas and active in the NPI registry since January 2022. The organization lists Jerry Edgin, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1922769322
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameARKANSAS RENAL GROUP PA
Location Address111 SKYLINE DRRussellville, AR 72801-3363
Mailing Address115 Wrights St Ste CHot Springs, AR 71913-6240 · (501) 624-6000 · Fax (501) 321-0710
Phone(501) 624-6000
Fax(501) 321-0710
Organization SubpartYesParent: Arkansas Renal Grou Pa
Authorized OfficialJerry EdginChief Executive Officer · (501) 624-6000
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1922769322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
111 SKYLINE DR, Russellville, AR 72801
Open in Google Maps ↗

Other Names 1

Doing Business AsRussellville Nephrology

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

JACQUELINE DEVIN PRICE APRN
Nurse Practitioner (Family)
111 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 498-4661
APRIL HARDIN APRN
Nurse Practitioner (Acute Care)
111 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 498-4661
DR. RANDEEP S MANN M.D.
Specialist
111 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 880-8828
DREW COURTNEY HEIPLE M.D.
Internal Medicine (Nephrology)
111 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 498-4661

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 Arkansas Renal Group PA's NPI number?

The NPI number for Arkansas Renal Group PA is 1922769322. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is doing business as Russellville Nephrology.

Where is Arkansas Renal Group PA located?

Arkansas Renal Group PA is located at 111 Skyline Dr, Russellville, AR 72801. The listed phone number is (501) 624-6000.

What is Arkansas Renal Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Arkansas Renal Group PA 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 Arkansas Renal Group 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 Arkansas Renal Group PA was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.