Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arkansas Renal Group PA

Organization Nephrology Physician · NPI 1922769322

Arkansas Renal Group PA is a Nephrology Physician in Russellville, Arkansas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Skyline Dr
Russellville, AR 72801-3363
Phone: (501) 624-6000
Fax: (501) 321-0710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1922769322
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationArkansas Renal Grou PA
Authorized official Jerry Edgin — Chief Executive Officer · (501) 624-6000
Other names Russellville Nephrology
NPI enumeratedJanuary 7, 2022
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing address115 Wrights St Ste C, Hot Springs, AR 71913-6240

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