St Marys Physician Services, LLC
NPI 1063626117 · Durable Medical Equipment & Medical Supplies · Russellville, AR
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Marys Physician Services, LLC is a Durable Medical Equipment & Medical Supplies organization in Russellville, AR (NPI 1063626117).
Provider details
- NPI number
- 1063626117
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is St Marys Physician Services, LLC's NPI number?
- St Marys Physician Services, LLC's National Provider Identifier (NPI) is 1063626117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Marys Physician Services, LLC?
- St Marys Physician Services, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is St Marys Physician Services, LLC located?
- St Marys Physician Services, LLC's practice location on file with NPPES is 101 Skyline Dr, Russellville, AR 72801-3363.
- What is St Marys Physician Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for St Marys Physician Services, LLC is (479) 968-2345.
- Does St Marys Physician Services, LLC accept Medicare?
- St Marys Physician Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Marys Physician Services, LLC?
- The authorized official listed on St Marys Physician Services, LLC's NPPES record is Charlotte Lawrence, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Marys Physician Services, LLC's NPI active?
- Yes — St Marys Physician Services, LLC's NPI (1063626117) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.