TOMMY RAY MAHAN (NPI# 1285909036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285909036 |
| Entity Type | Individual |
| Full Name | TOMMY RAY MAHAN |
| Practice Address |
3693 Hwy 92 W Center Ridge AR 72027 |
| Mailing Address |
Po Box 15 Center Ridge AR 72027-0015 |
| Practice Telephone | 5012086938 |
| Mailing Telephone | 5012086938 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 189358783 | 05 |
| Street Address |
3693 HWY 92 W |
| City | CENTER RIDGE |
| State | AR |
| Zip Code | 72027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684991 | Karen Tester | Nurse Practitioner | 1094 Catholic Point Road, Center Ridge, AR 72027-0146 | 2005-10-28 |
| 1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
| 1144388620 | Nemo Vista School | Local Education Agency (LEA) | 5690 Highway 9, Center Ridge, AR 72027-8401 | 2006-12-05 |
| 1407397797 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2017-03-20 |
| 1780297739 | Ashley Tallent | Nurse Practitioner | 1094 Catholic Point Rd, Center Ridge, AR 72027-8403 | 2020-08-28 |
| 1982931036 | Amy Michelle Malik | Speech-Language Pathologist | 398 M&m Road, Center Ridge, AR 72027-8453 | 2009-11-11 |
| 1326393844 | Brianna M Beck | Physical Therapist | 6 Brindley Ln, Center Ridge, AR 72027-8454 | 2012-07-20 |
| 1851619613 | Neuropsychology Associates, P.a. | Clinical Neuropsychologist | 620 Dutton Mountain Rd, Center Ridge, AR 72027-8469 | 2010-05-04 |
| 1285736074 | Sheila Denise Beck | Physical Therapist | 1091 Dutton Mountain Rd, Center Ridge, AR 72027-8547 | 2006-09-02 |
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1619587383 | First Choice Care Management Consulting LLC | Case Manager/Care Coordinator | 155 Leatherwood Loop, Hot Springs, AR 71901-9580 | 2020-08-06 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1114535838 | Amber Michelle Cansler | Case Manager/Care Coordinator | 637 Ar-8, Amity, AR 71921 | 2020-07-20 |
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1619501087 | 1 Source Senior Care | Case Manager/Care Coordinator | 1820 Shelby Ln, Fayetteville, AR 72704-5255 | 2020-02-25 |
| 1194356964 | Yanira Harper | Case Manager/Care Coordinator | 204 Martha Ln Apt B, Gurdon, AR 71743-2210 | 2020-01-30 |
| 1326679473 | Megan Thomas | Case Manager/Care Coordinator | 3715 N Business Dr Ste 201, Fayetteville, AR 72703-5288 | 2020-01-28 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1619516051 | Kyjione King | Case Manager/Care Coordinator | 721 S Gee St Ste A, Jonesboro, AR 72401-3308 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | CENTER RIDGE |
| Zip Code | 72027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.