Arkansas Medicaid lookup
One provider matched this Medicaid ID.
Arkansas Medicaid ID 4663 resolves to a single NPI record. Open the full profile for complete detail.
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Single match found
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SG
NPI · 1205507399 · Active
Samantha Gannaway Pta
Physical Therapy Assistant · Mc Gehee, Arkansas
NPI
1205507399
Medicaid (AR)
4663
Taxonomy
225200000X
State
Arkansas
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 4663AR
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.