KENNETH R MEACHAM (M.D.) – Urology Physician, NPI 1407801707

KENNETH R MEACHAM (M.D.) is a healthcare provider. based in Russellville, Arkansas. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. C4297 (AR). The NPI Number for KENNETH R MEACHAM (M.D.) is 1407801707

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH R MEACHAM (M.D.)
NPI
1407801707
Phone
(479) 498-6583
Address
101 SKYLINE DR
Enumeration Date
24 May 2006
Last Update Date
28 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4799682345
Graduation Year
1969 (57 years ago)
PAC ID
4688623895
Group Practice PAC ID
4981698032
Professional Enrollment ID
I20050114000251
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH R MEACHAM (M.D.)

  • Milliard-Henry Clinic, 101, Skyline Drive, Norristown, Russellville, Pope County, Arkansas, 72801, United States

    RUSSELLVILLE, AR 728013363

    Phone: (479) 498-6583

    Fax: (479) 498-6585

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981698032View full group profile
NameSpecialtyState
NATHAN RAY HENDERSON (M.D.)
-AR
TIMOTHY SAMUEL JOHNSON (MD)
-AR
WENDY MICHELLE PYBURN (APRN FNP-C)
Nurse PractitionerAR
DR. JAMES ALBERT JR. JOHNSON (M. D.)
General SurgeryOK
DR. JANET K. CORBETT (D.O.)
Family PracticeAR
VIRGINIA MISTLER (APRN)
Nurse PractitionerAR
DR. KIM GRAVES (M.D.)
-AR
JODY CARLTON CALLAWAY (MD)
O B S T E T R I C S/ G Y N E C O L O G YAR
ERIN JO DODGE (APRN)
Nurse PractitionerTN
MRS. HANNAH JONES (FNP)
Nurse PractitionerAR

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Frequently asked questions

Is there an official ID for KENNETH R MEACHAM (M.D.) in U.S. healthcare records?
The official identifier for KENNETH R MEACHAM (M.D.) is NPI 1407801707.
Active or inactive — what applies to KENNETH R MEACHAM (M.D.)?
You should see KENNETH R MEACHAM (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for KENNETH R MEACHAM (M.D.)?
At a glance, KENNETH R MEACHAM (M.D.) is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KENNETH R MEACHAM (M.D.)?
Travel planning: use Russellville, Arkansas as the reference point for KENNETH R MEACHAM (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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