JULIE BETH GARDNER (MD) – Internal Medicine Physician, NPI 1639674690

JULIE BETH GARDNER (MD) is a healthcare provider. based in Stuttgart, Arkansas. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E-15010 (AR). The NPI Number for JULIE BETH GARDNER (MD) is 1639674690

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JULIE BETH GARDNER (MD)
NPI
1639674690
Phone
(870) 377-5708
Address
2120 COKER HAMPTON DR
Enumeration Date
29 March 2018
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8706733511
Graduation Year
2018 (8 years ago)
PAC ID
8022364660
Group Practice PAC ID
3870659246
Professional Enrollment ID
I20220713002720
Address ID
AR721603153ST1703XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

233 PEDIATRIC MEDICINE in AR

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Provider Addresses for JULIE BETH GARDNER (MD)

  • 2120, Coker Hampton Drive, Stuttgart, Arkansas County, Arkansas, 72160, United States

    STUTTGART, AR 721606429

    Phone: (870) 377-5708

    Type: Mailing

  • Children's Way, Little Rock, Pulaski County, Arkansas, 72202, United States

    LITTLE ROCK, AR 72202

    Phone: (501) 364-1874

    Type: Location

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (870) 946-0300

    Fax: (870) 946-0303

    Type: Mailing

  • 1703 S WHITEHEAD DR

    DE WITT, AR 720422911

    Phone: (870) 946-0300

    Fax: (870) 946-0303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($28).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220713002720IPediatric MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 72160)

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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: 3870659246View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
Pediatric Medicine, Internal MedicineAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I cross-check JULIE BETH GARDNER (MD) using NPI 1639674690?
NPI 1639674690 belongs to JULIE BETH GARDNER (MD); compare other details if you need extra assurance.
Is JULIE BETH GARDNER (MD) shown as active in public data?
Registry records indicate JULIE BETH GARDNER (MD) maintains an active NPI.
What expertise is attributed to JULIE BETH GARDNER (MD)?
JULIE BETH GARDNER (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JULIE BETH GARDNER (MD) located near Stuttgart?
JULIE BETH GARDNER (MD) currently maps to Stuttgart, Arkansas in this extract.
When was this NPI issued?
Enumeration for JULIE BETH GARDNER (MD) is noted as March 29, 2018 where the registry provides it.

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