OrganizationActive
Jefferson Hospital Association, Inc.
NPI 1922578327 · Family Medicine Physician · Pine Bluff, AR
Provider details
- NPI number
- 1922578327
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Jackson, Chief Financial Officer(870) 541-7141
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1801 W 40th Ave Ste 6a
Pine Bluff, AR 71603-6963
Phone: (870) 541-9373
Fax: (870) 541-0109
Street-level locationGet directions
Mailing address
Po Box 2650
Pine Bluff, AR 71613-2650
Other names (DBA / former)
- Doing business as
- Family Health Assoc of Southeast Ar
Registry dates
- Enumerated
- 2018-11-28
- Last updated
- 2018-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.