Arkansas Renal Group PA
NPI 1922769322 · Nephrology Physician · Russellville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arkansas Renal Group PA is a Nephrology Physician organization in Russellville, AR (NPI 1922769322).
Provider details
- NPI number
- 1922769322
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Arkansas Renal Grou PA
- Organization subpart
- Yes
- Authorized official
- Jerry Edgin, Chief Executive Officer(501) 624-6000
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
4 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
Other names (DBA / former)
- Doing business as
- Russellville Nephrology
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Frequently asked questions
- What is Arkansas Renal Group PA's NPI number?
- Arkansas Renal Group PA's National Provider Identifier (NPI) is 1922769322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arkansas Renal Group PA?
- Arkansas Renal Group PA is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Arkansas Renal Group PA located?
- Arkansas Renal Group PA's practice location on file with NPPES is 111 Skyline Dr, Russellville, AR 72801-3363.
- What is Arkansas Renal Group PA's phone number?
- The practice phone number listed in the NPPES registry for Arkansas Renal Group PA is (501) 624-6000.
- Does Arkansas Renal Group PA accept Medicare?
- Arkansas Renal Group PA 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 Arkansas Renal Group PA?
- The authorized official listed on Arkansas Renal Group PA's NPPES record is Jerry Edgin, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arkansas Renal Group PA's NPI active?
- Yes — Arkansas Renal Group PA's NPI (1922769322) is active in the NPPES registry as of the last update on 2022-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.