JEFFERSON HOSPITAL ASSOCIATION, INC
NPI 1932157674
Internal Medicine - Pulmonary Disease in Pine Bluff, AR

Active since May 05, 2006
1601 W 40TH AVE, SUITE 301, PINE BLUFF, AR 71603(870) 879-3007(870) 879-3008 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, May 4, 2018, Nov 14, 2017 (3 updates tracked since 2017).

About Jefferson Hospital Association, Inc NPPES

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

JEFFERSON HOSPITAL ASSOCIATION, INC (NPI 1932157674) is a healthcare organization registered as a pulmonary disease in Pine Bluff, Arkansas and active in the NPI registry since May 2006. The organization lists Peter Austin, Coo, as its authorized official.

NPPES Registry Identity

NPI1932157674
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJEFFERSON HOSPITAL ASSOCIATION, INC
Location Address1601 W 40TH AVE, SUITE 301Pine Bluff, AR 71603-6319
Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7211 · Fax (870) 541-4297
Fax(870) 879-3008
Organization SubpartNo
Authorized OfficialPeter AustinCoo · (870) 541-7100
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1932157674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
1601 W 40TH AVE, Pine Bluff, AR 71603

Other Identifiers 1

Medicaid152571002AR

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

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)

Jefferson Hospital Association, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20040106000512Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

109

Medicare enrollment records show 109 clinicians reassign Medicare billing to Jefferson Hospital Association, Inc, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Nurse Practitioner21
Family Practice15
Internal Medicine11
Neurology9
General Surgery7
Critical Care (Intensivists)5
Obstetrics/Gynecology5
Hematology/Oncology4
15 other specialties32

Nearest to this location (20)

See all 109
Cardiovascular Disease (Cardiology)
NPI 1295799443
1601 W 40TH AVE SUITE 301
Pine Bluff, AR 71603
(870) 541-4285
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1629078266
1601 W 40TH AVE SUITE 301
Pine Bluff, AR 71603
(870) 541-4280
Same address
Cardiovascular Disease (Cardiology)
NPI 1992994396
1601 W 40TH AVE SUITE 301
Pine Bluff, AR 71603
(870) 541-4285
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1457858508
1601 W 40TH AVE STE 301C
Pine Bluff, AR 71603
(870) 541-6060
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1447756374
1601 W 40TH AVE STE 301C
Pine Bluff, AR 71603
(870) 541-6060
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508213984
1601 W 40TH AVE
Pine Bluff, AR 71603
(870) 541-7611
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1225478472
1601 W 40TH AVE STE 301
Pine Bluff, AR 71603
(870) 541-4285
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1629292883
1601 W 40TH AVE SUITE 301
Pine Bluff, AR 71603
(870) 541-4285
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487008793
1601 W 40TH AVE
Pine Bluff, AR 71603
(870) 541-6000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1598771677
1601 W 40TH AVE
Pine Bluff, AR 71603
(870) 541-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205588589
1600 W 40TH AVE
Pine Bluff, AR 71603
(870) 541-8767
✔ PECOSSame address
Nurse Practitioner
NPI 1356005250
1609 W 40TH AVE STE 205
Pine Bluff, AR 71603
(870) 541-7211
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1407852734
1609 W 40TH AVE STE 300
Pine Bluff, AR 71603
(870) 541-6045
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1770750176
1609 W 40TH AVE SUITE 501
Pine Bluff, AR 71603
(870) 534-3449
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1548668916
1609 W 40TH AVE STE 205
Pine Bluff, AR 71603
(870) 541-3230
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1295700904
1609 W 40TH AVE SUITE 403
Pine Bluff, AR 71603
(870) 534-4188
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871955526
1609 W 40TH AVE STE 202A
Pine Bluff, AR 71603
(870) 541-7211
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1912112632
1609 W 40TH AVE STE 401
Pine Bluff, AR 71603
(870) 541-7201
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1710997655
1609 W 40TH AVE STE 111
Pine Bluff, AR 71603
(870) 541-7211
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1881853133
1609 W 40TH AVE STE 403
Pine Bluff, AR 71603
(870) 541-6070
✔ PECOS✔ Accepts MedicareSame address
See all 109 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1932157674. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Jefferson Hospital Association, Inc located?

Jefferson Hospital Association, Inc is located at 1601 W 40th Ave Suite 301, Pine Bluff, AR 71603. The listed phone number is (870) 879-3007.

What is Jefferson Hospital Association, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jefferson Hospital Association, Inc enrolled in Medicare?

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

When is Jefferson Hospital Association, Inc'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 November 30, 2026. 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 Jefferson Hospital Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 109 clinicians in 23 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 (21), Family Practice (15) and Internal Medicine (11). Of these, 40 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 July 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.