Northeast Arkansas Pain Medicine
NPI 1235300765 · Interventional Pain Medicine Physician · Jonesboro, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Arkansas Pain Medicine is a Interventional Pain Medicine Physician organization in Jonesboro, AR (NPI 1235300765).
Provider details
- NPI number
- 1235300765
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monica Formon, Office Manager(870) 972-0411
- License
- E1479 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-03-12
- Last updated
- 2009-12-15
Frequently asked questions
- What is Northeast Arkansas Pain Medicine's NPI number?
- Northeast Arkansas Pain Medicine's National Provider Identifier (NPI) is 1235300765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Arkansas Pain Medicine?
- Northeast Arkansas Pain Medicine is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Arkansas Pain Medicine located?
- Northeast Arkansas Pain Medicine's practice location on file with NPPES is 505 E Matthews Ave, Jonesboro, AR 72401-3144.
- What is Northeast Arkansas Pain Medicine's phone number?
- The practice phone number listed in the NPPES registry for Northeast Arkansas Pain Medicine is (870) 972-0411.
- Does Northeast Arkansas Pain Medicine accept Medicare?
- Northeast Arkansas Pain Medicine 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 Northeast Arkansas Pain Medicine?
- The authorized official listed on Northeast Arkansas Pain Medicine's NPPES record is Monica Formon, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Arkansas Pain Medicine's NPI active?
- Yes — Northeast Arkansas Pain Medicine's NPI (1235300765) is active in the NPPES registry as of the last update on 2009-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.