St Mary'S Physician Services LLC
NPI 1124084991 · General Practice Physician · Russellville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Mary'S Physician Services LLC is a General Practice Physician organization in Russellville, AR (NPI 1124084991).
Provider details
- NPI number
- 1124084991
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-04-21
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is St Mary'S Physician Services LLC's NPI number?
- St Mary'S Physician Services LLC's National Provider Identifier (NPI) is 1124084991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Mary'S Physician Services LLC?
- St Mary'S Physician Services LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is St Mary'S Physician Services LLC located?
- St Mary'S Physician Services LLC's practice location on file with NPPES is 101 Skyline Dr, Russellville, AR 72801-3363.
- What is St Mary'S Physician Services LLC's phone number?
- The practice phone number listed in the NPPES registry for St Mary'S Physician Services LLC is (479) 968-2345.
- Does St Mary'S Physician Services LLC accept Medicare?
- St Mary'S 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 Mary'S Physician Services LLC?
- The authorized official listed on St Mary'S 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 Mary'S Physician Services LLC's NPI active?
- Yes — St Mary'S Physician Services LLC's NPI (1124084991) 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.