SOUTH ARKANSAS CARDIOVASCULAR SURGERY CENTER
NPI 1982940433
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pine Bluff, AR
About South Arkansas Cardiovascular Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH ARKANSAS CARDIOVASCULAR SURGERY CENTER (NPI 1982940433) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Pine Bluff, Arkansas and active in the NPI registry since January 2013. The organization lists Walter E. Johnson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
South Arkansas Cardiovascular Surgery Center 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.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to South Arkansas Cardiovascular Surgery Center, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 106Source: 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 Assn, Inc.'s NPI number?
The NPI number for Jefferson Hospital Assn, Inc. is 1982940433. It was assigned to this organization in the NPPES registry on January 2, 2013. The provider is doing business as South Arkansas Cardiovascular Surgery Center.
Where is Jefferson Hospital Assn, Inc. located?
Jefferson Hospital Assn, Inc. is located at 1609 W 40th Ave Suite 403, Pine Bluff, AR 71603. The listed phone number is (870) 541-0668.
What is Jefferson Hospital Assn, Inc.'s specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Jefferson Hospital Assn, Inc. enrolled in Medicare?
Yes. Jefferson Hospital Assn, Inc. is registered in the Medicare PECOS enrollment system.
When is Jefferson Hospital Assn, 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 Assn, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 22 Medicare specialties reassign their Medicare billing to Jefferson Hospital Assn, 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, 36 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jefferson Hospital Assn, Inc. was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# South Arkansas Cardiovascular Surgery Center · NPI 1982940433
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since January 2, 2013.
## Identity
- **NPI:** 1982940433 (Entity type: Organization)
- **Enumerated:** January 2, 2013
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Legal business name:** Jefferson Hospital Assn, Inc.
- **Organization subpart:** No
- **Authorized official:** Walter Johnson, CEO
## Practice location
- **Address:** 1609 W 40TH AVE, SUITE 403, Pine Bluff, AR 71603-6319
- **Phone:** (870) 541-0668 · **Fax:** (870) 541-0083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (15), Internal Medicine (11); 36 practice at this address and 66 within 10 miles; [full list](https://npiprofile.com/npi/1982940433/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1982940433) · Data from the CMS NPPES public registry.