Healthcare Provider Details

I. General information

NPI: 1194746602
Provider Name (Legal Business Name): JOEL RODMAN EPPERSON JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W KINGSHIGHWAY SUITE 7
PARAGOULD AR
72450
US

IV. Provider business mailing address

1000 W KINGSHIGHWAY SUITE 7
PARAGOULD AR
72450
US

V. Phone/Fax

Practice location:
  • Phone: 870-239-8427
  • Fax: 870-239-8431
Mailing address:
  • Phone: 870-239-8427
  • Fax: 870-239-8431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberE-6357
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberE6357
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number17264
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberE-6357
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: