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Arkansas Renal Group PA

Nephrology Physician in Russellville, AR · enumerated 2022 · authorized official Jerry Edgin, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922769322

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Registry record

Entity type Organization (Type 2)
Legal business name Arkansas Renal Group PA
Parent organization Arkansas Renal Grou PA
Practice address 111 Skyline Dr, Russellville, AR, 72801
Phone (501) 624-6000
Fax (501) 321-0710
Enumeration date Jan 7, 2022
Last updated in NPPES Jan 7, 2022

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jerry Edgin
Title Chief Executive Officer
Phone (501) 624-6000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Arkansas Renal Group PA?
Arkansas Renal Group PA is registered in NPPES as a Nephrology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-07.