MEDICARE: AEGIS GROUP PRACTICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1437004595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEGIS GROUP PRACTICE LLC

Provider Business Mailing Address
First Line	:	4933 OLD GREENWOOD RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-6906
Country	:	US
Telephone Number	:	479-201-6037
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 MAX LANE DR
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-2815
Country	:	US
Telephone Number	:	479-201-6037
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	TERRY LAMB
Credential	:
Telephone Number	:	479-201-6037

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1396837852 — EARL L STEWART MD
Practice Location Address:

2815 N HIGHLAND AVE , SUITE C
JACKSON, TN
38305-1729

Practice Phone: 731-660-6055
Practice Fax: 731-660-6039

1407948961 — FAMILY HEALTHCARE OF JACKSON
Practice Location Address:

2815 N HIGHLAND AVE , SUITE C
JACKSON, TN
38305-1729

Practice Phone: 731-660-6055
Practice Fax: 731-660-6039

1407178171 — MR. MICHAEL RAY PAYNE M.S. CCC-SLP
Practice Location Address:

25 MAX LANE DR
JACKSON, TN
38305-2815

Practice Phone: 731-541-6572
Practice Fax: 731-541-4436

1285626424 — RURAL HEALTHCARE OF OKLAHOMA, INC
Practice Location Address:

2815 E JACKSON ST
HUGO, OK
74743-4250

Practice Phone: 580-326-9200
Practice Fax: 580-317-2810

1346459914 — MRS. REBECCA ANN WADE COTA
Practice Location Address:

2815 E JACKSON ST
HUGO, OK
74743-4250

Practice Phone: 580-326-9200
Practice Fax: 580-326-8876

1144546011 — RURAL HEALTHCARE OF OKLAHOMA, INC
Practice Location Address:

2815 E JACKSON ST
HUGO, OK
74743-4250

Practice Phone: 816-729-2740
Practice Fax:

Directions to “AEGIS GROUP PRACTICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.