2020_PCMH_Enrollment_PCP_List_Final

2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE ACCESS MEDICAL CLINIC DONALD BLAGDON ASHFLAT, AR ACCESS MEDICAL CLINIC BRADLEY BIBB ASHFLAT, AR ACCESS MEDICAL CLINIC ARKANS MARK HAHN SALEM, AR ACCESS MEDICAL CLINIC ARKANS KIMBERLY BURNER SALEM, AR ACCESS MEDICAL CLINIC ARKANS MARY PUGH SALEM, AR ALL FOR KIDS PEDIATRIC CLINIC, PA JERRY BYRUM LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA SEPTEMBER WESTBROOK LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA MARSHA SALMAN LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA DAWN MARTIN LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA KIMBERLY SKELLEY LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA ANTHONY ELIAS LITTLE ROCK, AR ALL FOR KIDS PEDIATRIC CLINIC, PA ASHLEY HALPAIN LITTLE ROCK, AR ARKADELPHIA MEDICAL CLINIC NOLAND HAGOOD JR ARKADELPHIA, AR ARKADELPHIA MEDICAL CLINIC BRYAN MCDONNELL ARKADELPHIA, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC JOSEPH SHOTTS CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC RUTH BLAIR CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC DEBORAH CERRATO CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC JEFFREY STAMP CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC JASON MERRICK CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC SUSANNE ROBERTSON CABOT, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC ALAN STOREYGARD JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC RICHARD HAYES JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC HAROLD SHORT JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC MARK PETERSON JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC ROBERT RITCHIE JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC MIRIAM MORSE JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC ALAN JOHNSTON JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC AARON ROBERDS JACKSONVILLE, AR ARKANSAS CENTRAL PRIMARY CARE, PLLC JOHN WILKINS JACKSONVILLE, AR ARKANSAS CHILDRENS MEDICAL GROUP PERRY WILBUR SPRINGDALE, AR ARKANSAS CHILDRENS MEDICAL GROUP ANDREW HAMBY SPRINGDALE, AR ARKANSAS CHILDRENS MEDICAL GROUP APRIL KILGORE SPRINGDALE, AR ARKANSAS HEALTH GROUP MARK VICE BENTON, AR ARKANSAS HEALTH GROUP CHRYSTI WILLIAMS BENTON, AR ARKANSAS HEALTH GROUP CARA BALLARD BENTON, AR ARKANSAS HEALTH GROUP JEFFREY MAYFIELD BRYANT, AR ARKANSAS HEALTH GROUP JERRY CAVANEAU BRYANT, AR ARKANSAS HEALTH GROUP JOSEPH NELSON BRYANT, AR ARKANSAS HEALTH GROUP SARA BRANSFORD-BLAIR BRYANT, AR ARKANSAS HEALTH GROUP AMY DANIEL CABOT, AR ARKANSAS HEALTH GROUP JOSEPH REARDON III CABOT, AR ARKANSAS HEALTH GROUP DUSTIN HOOVER CABOT, AR ARKANSAS HEALTH GROUP STEPHEN SNYDER LITTLE ROCK, AR ARKANSAS HEALTH GROUP JOHN HARRIS LITTLE ROCK, AR Page of 21 Shared Performance Entity 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE ARKANSAS HEALTH GROUP STEPHANIE CODY LITTLE ROCK, AR ARKANSAS HEALTH GROUP OKSANA MELNYK LITTLE ROCK, AR ARKANSAS HEALTH GROUP ELIZABETH IRBY LITTLE ROCK, AR ARKANSAS HEALTH GROUP RUSSELL CRANFORD LITTLE ROCK, AR ARKANSAS HEALTH GROUP ERICA STOKES LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC ANTHONY JOHNSON LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC LORI MONTGOMERY LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC SCOTT SANDERS LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC EUGENE LU LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC ANTON DUKE LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC KRISTI HAWKINS LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC STACY SAX LITTLE ROCK, AR ARKANSAS PEDIATRIC CLINIC, PLLC SARAH BONE LITTLE ROCK, AR ARKANSAS PEDIATRICS OF CONWAY PA REGINALD LUCAS CONWAY, AR ARKANSAS PEDIATRICS OF CONWAY PA STEVEN MCNABB CONWAY, AR ARKANSAS PEDIATRICS OF CONWAY PA KAREN BAKER CONWAY, AR ARKANSAS PEDIATRICS OF CONWAY PA PHILIP HOPP CONWAY, AR ARKANSAS PRIMARY CARE CLINICS PA DEREK LEWIS LITTLE ROCK, AR BLYTHEVILLE, AR ASAFO-BOAKYE BENJAMIN MD BENJAMIN ASAFO-BOAKYE ASCENSION DEPAUL SERVICES ROBERT SCOTT GOULD, AR BAPTIST HEALTH KRISTEN BRANDON CADDO VALLEY, AR BAPTIST HEALTH RYAN BUFFALO HEBER SPRINGS, AR BAPTIST HEALTH JOHN HERRING HEBER SPRINGS, AR BAPTIST HEALTH JUSTIN ALLEN HEBER SPRINGS, AR BAPTIST HEALTH FAMILY CLINIC PRES CHARLES VERMONT PRESCOTT, AR BAPTIST HEALTH FAMILY CLINICCONW MICHAEL CARSON CONWAY, AR BAPTIST HEALTH FAMILY CLINICCONW JANELL VINSON CONWAY, AR BAPTIST HEALTH FAMILY CLINICCONW JAMIE TRAPP CONWAY, AR BAPTIST HEALTH FAMILY CLINICCONW CARLY ROARK CONWAY, AR BAPTIST HEALTH HOSPITALS DENNIS YELVINGTON STUTTGART, AR BAPTIST HEALTH HOSPITALS NOBLE DANIEL STUTTGART, AR BAPTIST HEALTH HOSPITALS MARION HORD STUTTGART, AR BAPTIST HEALTH HOSPITALS RAYMOND COKER STUTTGART, AR BAPTIST HEALTH HOSPITALS CHRISTOPHER MORGAN STUTTGART, AR BAPTIST HEALTH HOSPITALS SETH KLEINBECK STUTTGART, AR BAPTIST HEALTH HOSPITALS MICHAEL OLTMANN STUTTGART, AR BAPTIST HEALTH HOSPITALS STEPHANIE PATYK STUTTGART, AR BAPTIST HEALTH SERVICES JOHN KIENTZ FORT SMITH, AR BAPTIST HEALTH SERVICES RICHARD HINKLE FORT SMITH, AR BAPTIST HEALTH SERVICES CHARLES JENNINGS FORT SMITH, AR BAPTIST HEALTH SERVICES MICHAEL COLE FORT SMITH, AR BAPTIST HEALTH SERVICES DALE ASBURY FORT SMITH, AR BAPTIST HEALTH SERVICES STEPHEN CARNEY FORT SMITH, AR BAPTIST HEALTH SERVICES HOLLY JENNINGS FORT SMITH, AR Page of 21 Shared Performance Entity Statewide Default Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE BAPTIST HEALTH SERVICES VON PHOMAKAY FORT SMITH, AR Shared Performance Entity BAPTIST HEALTH SERVICES JEFFREY MEDLOCK FORT SMITH, AR BAPTIST HEALTH SERVICES JON HARPER FORT SMITH, AR BAPTIST HEALTH SERVICES SALAHUDDIN KADDOURA FORT SMITH, AR BAPTIST HEALTH SERVICES BAO DANG FORT SMITH, AR BAPTIST HEALTH SERVICES CHRISTIAAN SLABBERT FORT SMITH, AR BAPTIST HEALTH SERVICES CHANSAMONE PHOMAKAY FORT SMITH, AR BAPTIST HEALTH SERVICES CHANSAMORN NOUANSAVANE FORT SMITH, AR BAPTIST HEALTH SERVICES AUDRA JACKSON FORT SMITH, AR BAPTIST HEALTH SERVICES BRANDI GUTHREY FORT SMITH, AR BAPTIST HEALTH SERVICES WILSON CRUZ LEAL FORT SMITH, AR BAPTIST HEALTH SERVICES JUSTIN VORIS FORT SMITH, AR BAPTIST HEALTH SERVICES THANH LE FORT SMITH, AR BAPTIST HEALTH SERVICES MANAR IBRAHIM FORT SMITH, AR BAPTIST HEALTH SERVICES SAMINA NADVI FORT SMITH, AR BAPTIST HEALTH SERVICES RAELENE MAPES VAN BUREN, AR BAPTIST HLTH FAM CLN PERRYVILLE MELISSA SEME PERRYVILLE, AR BAPTIST HLTH FAMILY CLN LAKEWOOD KIMBERLY GARTMAN NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN LAKEWOOD FRED NAGEL NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN LAKEWOOD BRADLEY JENKINS NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN LAKEWOOD RICHARD HECK NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN LAKEWOOD MICHAEL BERRY NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN LAKEWOOD EDWARD VANDERBURG NORTH LITTLE ROCK, AR BAPTIST HLTH FAMILY CLN MALVERN ALTIMUS BOLLEN MALVERN, AR BAPTIST HLTH FAMILY CLN MALVERN RICHARD CHASTAIN MALVERN, AR BAPTIST HLTH FAMILY CLN MALVERN LAURA LESTER MALVERN, AR BATESVILLE FAMILY CARE WILLIAM WALDRIP BATESVILLE, AR BATESVILLE FAMILY CARE JULIA ALLEN BATESVILLE, AR BATESVILLE FAMILY CARE DAVID FIELDER BATESVILLE, AR BATESVILLE FAMILY CARE DYLAN ESTES BATESVILLE, AR BAXTER COUNTY REGIONAL HOSPITAL INC KAM LIE MOUNTAIN HOME, AR Statewide Default Pool BAXTER COUNTY REGIONAL HOSPITAL INC JOHN LESLIE MOUNTAIN HOME, AR Statewide Default Pool BAXTER COUNTY REGIONAL HOSPITAL INC BENJAMIN STEVENS MOUNTAIN HOME, AR Statewide Default Pool BAXTER COUNTY REGIONAL HOSPITAL INC BRITTNEY FRISBY MOUNTAIN HOME, AR Statewide Default Pool BAXTER COUNTY REGIONAL HOSPITAL, INC SHAWN BOGLE YELLVILLE, AR Petite Pool BEEBE FAMILY CLINIC HAROLD BRANCH BEEBE, AR BIVINS FRANKLIN G MD FRANKLIN BIVINS HEBER SPRINGS, AR Petite Pool BRADLEY COUNTY MEDICAL CENTER KRISTEN DENT WARREN, AR Statewide Default Pool BRAY SHELLY C MD SHELLY BRAY ARKADELPHIA, AR Petite Pool BRMC HOMETOWN CLINIC MOUNTAINVIEW ERIC SPANN MOUNTAIN VIEW, AR Statewide Default Pool CARTER INGE R MD INGE CARTER LITTLE ROCK, AR Petite Pool CENTRAL ARKANSAS PEDIATRIC CLINIC ROYCE STANFORD BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC DAVID WEED BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC ROBBIE RHODES BRYANT, AR Page of 21 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE CENTRAL ARKANSAS PEDIATRIC CLINIC MISTY NOLEN BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC JESSICA FOX BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC AMANDA MERRICK BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC MINDY POMTREE BRYANT, AR CENTRAL ARKANSAS PEDIATRIC CLINIC MEGHAN REPP BRYANT, AR CENTRAL ARKANSAS PEDIATRICSPA JEFFREY CRAIG CONWAY, AR CENTRAL ARKANSAS PEDIATRICSPA SHERRYE CRAIG CONWAY, AR CENTRAL ARKANSAS PEDIATRICSPA ADAM HARRELL CONWAY, AR CENTRAL ARKANSAS PEDIATRICSPA PRIYA YADAV CONWAY, AR CENTRAL MED GROUP PA TOMMY LOVE JR LITTLE ROCK, AR CHAMBERS MEMORIAL CLINIC WILLIAM BERRY DANVILLE, AR CHAMBERS MEMORIAL CLINIC JOHN WESTWOOD JR DANVILLE, AR CHAMBERS MEMORIAL CLINIC CHARLES JONES JR DANVILLE, AR CHAMBERS MEMORIAL CLINIC KARL SANDBERG DANVILLE, AR CHAMBERS MEMORIAL CLINIC TIMMY KAY DANVILLE, AR CHESHIER JAMES L MD JAMES CHESHIER FORT SMITH, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS MICHAEL BODEMANN HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS MARK FLOYD HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JOHN SORRELS HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS DIANE BODEMANN HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JAMES HUGHES HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JOSEPH CENAC JR HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS DONALD BODEMAN HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS RICHARD ROPER HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HAROLD HILL HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS MICHAEL VERSER HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS ANDREW GROSE HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS SETH BARNES HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS RIMANTAS KAZAKEVICIUS HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS GREGORY WHORTON HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS DAVID SLAY HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS CHARLES REEVES JR HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JENNY NAVARRO HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JAMIE IRWIN HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HALAH AL-DADAH HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS KRISTI SUTTON HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS CHRISTINE LAI HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS YANG XU HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS LISA MARTIN HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS AMY FALCK HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS JANELLE FLOYD HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS MARCUS CHU HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS ERIC HENLEY HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS ZANE HENLEY HOT SPRINGS, AR Page of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE CHI ST VINCENT MEDICAL GROUP HOT SPRINGS MICHAEL CLOUD HOT SPRINGS, AR CHI ST VINCENT MEDICAL GROUP HOT SPRINGS ASMA KHAN HOT SPRINGS, AR CHILD AND ADOLESCENT MEDICAL CLINIC VERN SHOTTS PARAGOULD, AR CHILD AND ADOLESCENT MEDICAL CLINIC JANET CRAWFORD PARAGOULD, AR CHILDREN'S CLINIC OF JONESBORO PA CHARLES KEMP JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA JANE SNEED JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA KEVIN ROUSE JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA GREGORY BUXTON JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA STEPHEN ASHODIAN JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA ANGELA EDWARDS JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA MITZI SCOTTEN JONESBORO, AR CHILDREN'S CLINIC OF JONESBORO PA ADAM HURST JONESBORO, AR CLARKSVILLE FAMILY MED CTR INC ROBERT NOONAN CLARKSVILLE, AR CLARKSVILLE MEDICAL GROUP, PA JOHN DUNHAM CLARKSVILLE, AR CLARKSVILLE MEDICAL GROUP, PA MARY BURCH CLARKSVILLE, AR CLARKSVILLE MEDICAL GROUP, PA SARAH WOODRUFF CLARKSVILLE, AR COMMUNITY PHYSICIANS GROUP DAN SPRINGER SILOAM SPRINGS, AR COMMUNITY PHYSICIANS GROUP SCOTT STINNETT SILOAM SPRINGS, AR COMMUNITY PHYSICIANS GROUP ROGER YOUMANS SILOAM SPRINGS, AR COMMUNITY PHYSICIANS GROUP AMY SCHOCHLER SILOAM SPRINGS, AR COMMUNITY PHYSICIANS GROUP REX HARRIS SILOAM SPRINGS, AR CONNELLEY FAMILY MEDICAL, PLLC JAY CONNELLEY MONTICELLO, AR Statewide Default Pool CONNER GEORGE L MD GEORGE CONNER FORREST CITY, AR Petite Pool CONWAY CHILDREN'S CLINIC DAWN SUTHERLAND CONWAY, AR CONWAY CHILDREN'S CLINIC KELLY STALEY CONWAY, AR CONWAY CHILDREN'S CLINIC CHRIS KILLINGSWORTH CONWAY, AR CONWAY REGIONAL MEDICAL CENTER INC DAVID MARTIN GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC CHARLES HIMMLER GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC KENNETH TURNER GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC BARRY CARROLL GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC BRIAN BLAIR GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC LAURA MASSEY GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC BLAIR GREENWOOD GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC KRISTY ROBERTS GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC GINA MCNEW GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC LESLIE WARD GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC JAMES FULMER GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC ADAM COX GREENBRIER, AR CONWAY REGIONAL MEDICAL CENTER INC BRIAN BOWLIN GREENBRIER, AR CORNERSTONE MEDICAL CLINIC PLLC STEVEN SHRUM HARRISON, AR CORNERSTONE MEDICAL GROUP PLLC ROBERT BISHOP ALMA, AR Statewide Default Pool CORNERSTONE MEDICAL GROUP PLLC JAVED RANA ALMA, AR Statewide Default Pool CROSSETT HEALTH FOUNDATION HENRY GOMEZ CROSSETT, AR CROSSETT HEALTH FOUNDATION FELICIA WATKINS-BROWN CROSSETT, AR Page of 21 Shared Performance Entity 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE CROSSETT HEALTH FOUNDATION KENNETH RICHARDS CROSSETT, AR CROSSETT HEALTH FOUNDATION MARK MALLOY CROSSETT, AR CROSSETT HEALTH FOUNDATION BENJAMIN WALSH CROSSETT, AR CROSSETT HEALTH FOUNDATION BRADLEY WALSH CROSSETT, AR CROSSROADS MEDICAL CLINIC - VICTOR CHU HARRISON, AR CROSSROADS MEDICAL CLINIC - KEVIN JACKSON HARRISON, AR DAUGHERTY AND DAUGHERTY MEDICAL CLINIC JOHN DAUGHERTY JACKSONVILLE, AR Statewide Default Pool DAUGHERTY AND DAUGHERTY MEDICAL CLINIC JOE DAUGHERTY JACKSONVILLE, AR Statewide Default Pool DAVIS BRANDY MDPA BRANDY DAVIS FORREST CITY, AR Statewide Default Pool DELTA MEMORIAL HOSPITAL FRANKLIN CHAMBERS DUMAS, AR DELTA MEMORIAL HOSPITAL RALPH MAXWELL DUMAS, AR DELTA MEMORIAL HOSPITAL SARAH FRANKLIN DUMAS, AR DIFFINE FAMILY PRACTICE PLLC DAVID DIFFINE BLYTHEVILLE, AR Statewide Default Pool DIFFINE FAMILY PRACTICE PLLC JONATHAN WHITE BLYTHEVILLE, AR Statewide Default Pool DILLARD CAROLYN M DO CAROLYN DILLARD VAN BUREN, AR Petite Pool DOCTORS HEALTH GROUP INC SUMNER CULLOM OSCEOLA, AR Statewide Default Pool DOCTORS HEALTH GROUP, INC KARA COOPER MONETTE, AR Petite Pool DOCTORS HEALTH GROUP, INC BRIAN BALTZ MONETTE, AR Petite Pool DR ALBERT OBIOZO PEDIATRICS INC ALBERT OBIOZO EL DORADO, AR DR ANDY'S FAMILY PRACTICE, PLLC ANANDARAJ SUBRAMANIUM MOUNTAIN VIEW, AR DRS COLLOM AND CARNEY CLINIC MARK WRIGHT TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC ROBERT GREEN TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC JOHN GRIFFIN JR TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC CINDY PORTER TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC JEFFORY THOMAS TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC THOMAS FOX TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC GREGORY RICHTER TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC PUI-SUM WONG TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC CHRISTINA PAYNE TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC TROY POTTER TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC ZACHARIAH KING TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC JACQUELINE DAY TEXARKANA, TX DRS COLLOM AND CARNEY CLINIC DEBRA WRIGHT BOWERS TEXARKANA, TX EAST ARKANSAS CHILDRENS CLINIC WILLIAM PATTON FORREST CITY, AR EAST ARKANSAS CHILDRENS CLINIC SARAH ROBINSON FORREST CITY, AR ENTERPRISES ELANGWE INC PHILIP ELANGWE FORT SMITH, AR Petite Pool FALWELL JR KEVIN W MD KEVIN FALWELL JR BATESVILLE, AR Petite Pool FAMILY FIRST PRIMARY CARE, PA ALYSON FISH GREENBRIER, AR FAMILY MED ASSOC BLYTHEVILLEPA RICHARD HESTER BLYTHEVILLE, AR FAMILY MED ASSOC BLYTHEVILLEPA KAREN HESTER BLYTHEVILLE, AR FAMILY MEDICAL CENTER JAMIE HOWARD LITTLE ROCK, AR FAMILY MEDICAL CENTER ROBERT CHEEK LITTLE ROCK, AR FAMILY MEDICAL CENTER ROBERT LAVENDER LITTLE ROCK, AR FAMILY MEDICAL CENTER WILLIAM GOLDEN LITTLE ROCK, AR Page of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE FAMILY MEDICAL CENTER DAVID NELSEN LITTLE ROCK, AR FAMILY MEDICAL CENTER SUSAN BELAND LITTLE ROCK, AR FAMILY MEDICAL CENTER DANIEL KNIGHT LITTLE ROCK, AR FAMILY MEDICAL CENTER STEPHEN SORSBY LITTLE ROCK, AR FAMILY MEDICAL CENTER RMEDICALSCI UNIVERSITY OF ARKANSAS FO LITTLE ROCK, AR FAMILY MEDICAL CENTER JEANNE WEI LITTLE ROCK, AR FAMILY MEDICAL CENTER SARA TARIQ LITTLE ROCK, AR FAMILY MEDICAL CENTER GOHAR AZHAR LITTLE ROCK, AR FAMILY MEDICAL CENTER VIVIANA SUAREZ LITTLE ROCK, AR FAMILY MEDICAL CENTER PRIYA MENDIRATTA LITTLE ROCK, AR FAMILY MEDICAL CENTER TOBIAS VANCIL LITTLE ROCK, AR FAMILY MEDICAL CENTER JENNIFER CASEY LITTLE ROCK, AR FAMILY MEDICAL CENTER LATHA ACHANTA LITTLE ROCK, AR FAMILY MEDICAL CENTER LESLIE STONE LITTLE ROCK, AR FAMILY MEDICAL CENTER ELIZABETH GATH LITTLE ROCK, AR FAMILY MEDICAL CENTER MASIL GEORGE LITTLE ROCK, AR FAMILY MEDICAL CENTER SHASHANK KRALETI LITTLE ROCK, AR FAMILY MEDICAL CENTER APPATHURAI BALAMURUGAN LITTLE ROCK, AR FAMILY MEDICAL CENTER SHREELEKHA NALLUR LITTLE ROCK, AR FAMILY MEDICAL CENTER KRISTIN CHAFFEE LITTLE ROCK, AR FAMILY MEDICAL CENTER PRIYA PRIYAMBADA LITTLE ROCK, AR FAMILY MEDICAL CENTER ANIL KOPPARAPU LITTLE ROCK, AR FAMILY MEDICAL CENTER HUMZA SIDDIQI LITTLE ROCK, AR FAMILY MEDICAL CENTER RILEY LIPSCHITZ LITTLE ROCK, AR FAMILY MEDICAL CENTER WILLIAM VENTRES LITTLE ROCK, AR FAMILY MEDICAL CENTER GEETABAHEN SAKARIYA LITTLE ROCK, AR FAMILY MEDICAL CENTER VERONICA PINTO MIRANDA LITTLE ROCK, AR FAMILY MEDICAL CENTER MANEETHA KODALI LITTLE ROCK, AR FAMILY MEDICAL CENTER SYED HASAN LITTLE ROCK, AR FAMILY MEDICAL CENTER KRISTEN SHEALY LITTLE ROCK, AR FAMILY MEDICINE OF WHITE HALL, P.A TIMMOTHY REECE WHITE HALL, AR FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE, PA JOHN MCAULEY CLARKSVILLE, AR FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE, PA SCOTT KUYKENDALL CLARKSVILLE, AR FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE, PA WILLIAM WILLIAMS CLARKSVILLE, AR FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE, PA CAMERON JONES CLARKSVILLE, AR FAMILY PRACTICE CLINIC OF PARAGOU STACEY NOEL PARAGOULD, AR Petite Pool FAMILY PRACTICE CLINIC OF PARAGOU BOBBY THOMPSON PARAGOULD, AR Petite Pool FAMILY PRACTICEASSOCIATES DAVID STAGGS SEARCY, AR FAMILY PRACTICEASSOCIATES DANIEL DAVIDSON SEARCY, AR FAMILY PRACTICEASSOCIATES MICHAEL NORTH SEARCY, AR FAMILY PRACTICEASSOCIATES BRENDA FRISBIE SEARCY, AR FAMILY PRACTICEASSOCIATES JAMES DAVIDSON SEARCY, AR FAMILY PRACTICEASSOCIATES JAMES MCMULLIN SEARCY, AR FERGUSON HEALTHCARE CLAY FERGUSON NASHVILLE, AR Page of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE FIRST US CLINIC PA OLABODE OLUMOFIN PINE BLUFF, AR Petite Pool GEORGE LADONNA D MD LADONNA GEORGE WARREN, AR Statewide Default Pool GLENWOOD FAMILY MEDICINE MATTHEW HULSEY GLENWOOD, AR GOLD C ROSS URGENT CARE, LLC EZINNE NWUDE EL DORADO, AR GONZALEZ FLOYD MD FLOYD GONZALEZ DEQUEEN, AR Shared Performance Entity Petite Pool GRAHAM PRIMARY HEALTHCARE LATONYA WASHINGTON WEST MEMPHIS, AR Petite Pool GRAY FAMILY PRACTICE CLINICPLLC ADAM GRAY MELBOURNE, AR Statewide Default Pool GREENBRIER FAMILY CLINIC CHARLES CLIFTON GREENBRIER, AR GREENBRIER FAMILY CLINIC GARY BOWMAN GREENBRIER, AR GREENBRIER FAMILY CLINIC JESSICA TACKETT GREENBRIER, AR HAMBY & HAMBY FAMILY WELLNESS CLI JEFFREY HAMBY VAN BUREN, AR HAMILTON WEST FAMILY MEDICINE JON ROBERT HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE KEVIN HALE HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE MICHAEL MULLINS HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE JOHN ERWIN HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE ANNA PARCHMAN HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE JODI SANSON HOT SPRINGS, AR HAMILTON WEST FAMILY MEDICINE HUNTER CARRINGTON HOT SPRINGS, AR HARRISON FAMILY PRACTICE CLINIC - SHANNON BROWNFIELD HARRISON, AR HARVEY PEDIATRICS, LLC BRYAN HARVEY ROGERS, AR HARVEY PEDIATRICS, LLC JANET CANTWELL ROGERS, AR HARVEY PEDIATRICS, LLC KATHLEEN POLLARD ROGERS, AR HIGGINBOTHAM MICHAEL S MD MICHAEL HIGGINBOTHAM MALVERN, AR HOPE MEDICAL CLINIC INC RICHARD MELIN CLINTON, AR HOT SPRINGS PEDIATRIC CLINICPA JANA MARTIN HOT SPRINGS, AR HOT SPRINGS PEDIATRIC CLINICPA TRACY ROWE HOT SPRINGS, AR HOT SPRINGS PEDIATRIC CLINICPA JULIA TOGAMI HOT SPRINGS, AR HOT SPRINGS PEDIATRIC CLINICPA SARAH HARDY HOT SPRINGS, AR HOT SPRINGS PEDIATRIC CLINICPA JESSICA CANNON HOT SPRINGS, AR INTEGRATED COMMUNITY CLINICS PA JOHN CASWELL GENTRY, AR INTEGRATED COMMUNITY CLINICS PA ASHISH MATHUR GENTRY, AR INTEGRATED COMMUNITY CLINICS PA ANGELA FANGMEIER SILOAM SPRINGS, AR INTEGRATED COMMUNITY CLINICS PA EZRA COLE SILOAM SPRINGS, AR JEFFERSON HOSPITAL ASSOCIATION,INC HORACE GREEN PINE BLUFF, AR JEFFERSON HOSPITAL ASSOCIATION,INC JOANN MAYS PINE BLUFF, AR JEFFERSON HOSPITAL ASSOCIATION,INC JOYCE FLETCHER PINE BLUFF, AR JEFFERSON HOSPITAL ASSOCIATION,INC SEVILAY DALABIH PINE BLUFF, AR JOHN PAUL WORNOCK LAURA WILLIAMS SEARCY, AR JOHN PAUL WORNOCK MITZI WASHINGTON SEARCY, AR JOHN PAUL WORNOCK JOHN WORNOCK SEARCY, AR JOHN PAUL WORNOCK LATRISHA HALL SEARCY, AR KION PEDIATRICS KRIS NWOKEJI JONESBORO, AR KIRKLAND FAMILYMEDICAL CEN TER PA ALLAN KIRKLAND DARDANELLE, AR L R CHILDRENS CLINIC PA STEVEN THOMPSON LITTLE ROCK, AR Page of 21 Statewide Default Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE L R CHILDRENS CLINIC PA LAURA SANDERS LITTLE ROCK, AR L R CHILDRENS CLINIC PA JOHNNY LEDBETTER LITTLE ROCK, AR L R CHILDRENS CLINIC PA LEAH YOUNGBLOOD LITTLE ROCK, AR L R CHILDRENS CLINIC PA ANNA OSTROM LITTLE ROCK, AR L R CHILDRENS CLINIC PA MONICAASUNC KEMPH LITTLE ROCK, AR L R CHILDRENS CLINIC PA JESSICA EMISON LITTLE ROCK, AR L R CHILDRENS CLINIC PA FORREST SHERMAN LITTLE ROCK, AR LAKE VILLAGE CLINIC PA JOANNE GREGORY LAKE VILLAGE, AR Shared Performance Entity LAKE VILLAGE CLINIC PA JAMES WRIGHT LAKE VILLAGE, AR LAWRENCE COUNTY RURAL FAMILY CLIN SEBASTIAN SPADES WALNUT RIDGE, AR LAWRENCE COUNTY RURAL FAMILY CLIN CHARLES DAVIDSON WALNUT RIDGE, AR LAWRENCE COUNTY RURAL FAMILY CLIN SHAWN PEYTON WALNUT RIDGE, AR LAWRENCE COUNTY RURAL FAMILY CLIN CLAY SPENCER WALNUT RIDGE, AR LAWRENCE COUNTY RURAL FAMILY CLIN CASSANDRA HUNTER WALNUT RIDGE, AR LINCOLN PADEN MEDICAL GROUP PLLC LANCE LINCOLN MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC TIMOTHY PADEN MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC SHELLEY WARR MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC JAMES WARR MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC MICHAEL ADKINS MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC CANDY LINCOLN MOUNTAIN HOME, AR LINCOLN PADEN MEDICAL GROUP PLLC SAMANTHA SHIPMAN MOUNTAIN HOME, AR LITTLE ROCK PEDIATRIC GROUP PA FREDERICK LEVIN LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA JOSHUA ONEILL LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA CHERYL AHART LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA CHADWICK RODGERS LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA AARON STRONG LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA CATHERINE ROBBEN LITTLE ROCK, AR LITTLE ROCK PEDIATRIC GROUP PA NATALIE BURR LITTLE ROCK, AR LIVING TREE PEDIATRICS, PLLC JEFFREY SAVAGE BENTONVILLE, AR LIVING TREE PEDIATRICS, PLLC JULIE TATE BENTONVILLE, AR LOWERY BECK MD PA MARVIN BECK JONESBORO, AR MAGNOLIA PEDIATRIC CLINIC INC AMY CROSS MAGNOLIA, AR Petite Pool MAIN STREET MEDICAL CLINIC PA CLAY BRASHEARS BENTON, AR Statewide Default Pool MAIN STREET MEDICAL CLINIC PA JIM BREWER BENTON, AR Statewide Default Pool MCGEHEE HOSPITAL INCORPORATED JAMES YOUNG MCGEHEE, AR Statewide Default Pool MCGEHEE HOSPITAL INCORPORATED OBOMA ASEMOTA MCGEHEE, AR Statewide Default Pool MCGEHEE HOSPITAL INCORPORATED JAMES RENFROE III MCGEHEE, AR Statewide Default Pool MEDICAL ASSOCIATES OF ALFRED GORDON JR FAYETTEVILLE, AR MEDICAL ASSOCIATES OF CHERYL HENNIGAN FAYETTEVILLE, AR MEDICAL ASSOCIATES OF JOSEPH OCONNELL FAYETTEVILLE, AR MEDICAL ASSOCIATES OF ABBY BALDWIN FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHW LARRY TUTTLE FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHW GARLAND THORN JR FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHW ANN-MARIE MAGRE FAYETTEVILLE, AR Page of 21 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE MEDICAL ASSOCIATES OF NORTHW SHAWN BROWN FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHW LONNA BUFFORD FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHW ANDREW COPPOLA FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A TERRY PAYTON FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A JOE ROBINSON FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A CHARLES JACKSON FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A CHARLES BALL FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A MEREDITH MAHAN FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A STACY FURLOW FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A LAUREEN BENAFIELD FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A JOHN SIMMONS FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A JAMES SWINDLE FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A SEAN LIVINGSTON FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A JOSEPHINE PARK FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A BRENTLEY SILVEY FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A ORRIN DAVIS FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A MEREDITH DENTON FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A VIRGINIA MCCORD FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A DANIEL RASMUSSEN FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A ANDREW KOEHLER FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A ELIZABETH BATTISTO FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A GRANT GAINES FAYETTEVILLE, AR MEDICAL ASSOCIATES OF NORTHWEST A WILLIAM MCGOWAN SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A BRUCE DEYOUNG SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A CLINTON TURNER SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A PATRICK MCGOWAN SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A JAMES SALMON SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A KARL HAWS SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A DAVID CLAY SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A JAMES NORYS SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A CHRISTOPHER HARDIN SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A JOHN NOLEN JR SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A MARTIN HANNON SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A SCOTT BIRCH SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A O HOOD SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A JASON VICKERY SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST A MARY FORD SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA RONNIE LEE SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA CHRISTIAN BLANKERS SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA JOSHUA RANKIN SPRINGDALE, AR MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA JONATHAN PARKER SPRINGDALE, AR MERCY CLINIC FORT SMITH COMMUNITIES WILLIAM DUDDING FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES ALLEN BEACHY FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES ROBERT WILSON FORT SMITH, AR Page 10 of 21 Shared Performance Entity 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE MERCY CLINIC FORT SMITH COMMUNITIES SUMMER ALUL-PHILLIPS FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES CHARLES CRAFT FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MICHAEL CALLAWAY FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES ROBERT BAKER FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MIRFAT BIRD FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES BECKY YARBOROUGH FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES LUC BALIS FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES ANNE ECKES FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES JASON RICHEY FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES LANCE BARTON FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES DEBORAH HAYS FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MICHAEL MIRANDA FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES VIKKI SUTTERFIELD FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES JENNIFER BURKS FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES AARON WHITE FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES IVELESSE DUPREE FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES SEAN BAKER FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MARGARET COX FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES NDIDIBUIKE UKWE FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES SARA ROBERSON FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES BRENT REEVES FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES BEENA SYED FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES RACHEL SING FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES FERNANDO CALERO BAQUERIZ FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES AMITA HEASER FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES CHERYL SPEAKE FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MARIA MOLINEROS GONZALES FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES JOSEPH SPEAKE FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES MISTY GONZALEZ FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES KODY NICHOLS FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES WILLIAM STEVENSON FORT SMITH, AR MERCY CLINIC FORT SMITH COMMUNITIES THAO NGUYEN FORT SMITH, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JOHN HUSKINS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES STEPHEN GOSS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES THOMAS YOUNGBLOOD BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES DAVID ESTES BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JAMES BYRUM BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES HUGH DONNELL BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CHRISTOPHER JOHNSON BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RAYMOND MAHAN BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JOY HILL BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES LAWRENCE SCHEMEL BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES GEORGE SCHAEFER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ANDREW LUEDERS BENTONVILLE, AR Page 11 of 21 Shared Performance Entity 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES SHANNON JEWELL BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES DAVID BEEMAN BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JAMES SCHERER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JENNIFER SCHROEDER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JANELLE POTTS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROSSITZA HRISTOSKOVA BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES LANCE FADDIS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CARL ENGMANN BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CHERYL FULTON BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MATTHEW STEED BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROBERTO SAEZ BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MARK LEE BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES JOHN SMILEY BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CARA RILEY BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES GRAEME ARCHER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROBERT SANDERS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RAJA DONDETI BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ADEGBENGA OLAYEMI BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES LAURA BELVIY BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES SUSAN SULLIVAN BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES BLAKE BRYANT BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES SHIVA TADAKAL BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES BRENDA RUDE BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CHRISTOPHER CARTER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES CASSIE DYER BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES DOUGLAS EDDY BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MATTHEW JENNINGS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES KRISTY JONES BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ALISHA TRENT BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RACHEL MACLEOD BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES TAMMY STALLINGS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES PATRICK GREENBURG BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MEGAN BUSCH BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RUPALI PARADKAR BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES SHAWN BRUMMETT BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES AMANDA WOOD BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES KYLE BLAIR BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES KRISTI GOODSON BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MITCHELL PRESTON BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES SHAUN ADAMS BENTONVILLE, AR MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MARK SHELNUTT BENTONVILLE, AR MERIDITH JAMES T MDPA JAMES MEREDITH FORREST CITY, AR MILLARD-HENRY CLINIC OF RUSSELLVI ARLIS BARTON RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI HOMER BEAVERS RUSSELLVILLE, AR Page 12 of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE MILLARD-HENRY CLINIC OF RUSSELLVI RICK HARRISON RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI JEFFREY YATES RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI BARRY MCCRAW RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI LYNETTE SMITH RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI TIMOTHY JOHNSON RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI EDWARD ANDRADA RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI FAUZIA QADIR RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI KEITH ISON RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI CHRISTINA BARTLETT RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI MICHAEL MCALISTER RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI CHADWICK MASTERS RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI HOWARD ORSBURN IV RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI NATHAN HENDERSON RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI JONATHAN BRIXEY RUSSELLVILLE, AR MILLARD-HENRY CLINIC OF RUSSELLVI JANET CORBETT RUSSELLVILLE, AR MISSISSIPPI COUNTY HOSPITALSYSTEM STEPHEN PIRTLE BLYTHEVILLE, AR MISSISSIPPI COUNTY HOSPITALSYSTEM CHIMERE ASHLEY BLYTHEVILLE, AR MISSISSIPPI COUNTY HOSPITALSYSTEM SEJAL THAKOR BLYTHEVILLE, AR MISSISSIPPI COUNTY HOSPITALSYSTEM PRATAPJI THAKOR BLYTHEVILLE, AR MONFEE MEDICAL CLINIC PA ANDREW MONFEE RUSSELLVILLE, AR MONTICELLO MEDICAL CLINIC PLC TIMOTHY SIMON MONTICELLO, AR MONTICELLO MEDICAL CLINIC PLC SYLVIA SIMON MONTICELLO, AR MONTICELLO MEDICAL CLINIC PLC JOSEPH FAKOURI MONTICELLO, AR MONTICELLO MEDICAL CLINIC PLC JULIA NICHOLSON MONTICELLO, AR MONTICELLO MEDICAL CLINIC PLC JAMES ATKINS, JR MONTICELLO, AR MORRILTON MEDICAL CLINIC PA MICHAEL KOONE MORRILTON, AR MORRILTON MEDICAL CLINIC PA PETER POST MORRILTON, AR MORRILTON MEDICAL CLINIC PA ROBERT WILKERSON MORRILTON, AR MORRILTON MEDICAL CLINIC PA JACK LYON MORRILTON, AR MORRILTON MEDICAL CLINIC PA CHARLES HOWARD MORRILTON, AR MORRILTON MEDICAL CLINIC PA LYDIA TRAUTH MORRILTON, AR MORRILTON MEDICAL CLINIC PA KYLE TRAUTH MORRILTON, AR MORRILTON MEDICAL CLINIC PA DUSTIN CREECH MORRILTON, AR MOUNTAIN VIEW CLINIC I LLC RICHARD LOCHALA MENA, AR MOUNTAIN VIEW CLINIC I LLC RONALD BECKEL JR MENA, AR NARMC FAMILY MEDICINE GROUP KENNETH COLLINS HARRISON, AR NARMC FAMILY MEDICINE GROUP JON RICHTER HARRISON, AR NARMC FAMILY MEDICINE GROUP RICHARD CHITSEY HARRISON, AR NARMC FAMILY MEDICINE GROUP HAROLD ALLEN HARRISON, AR NARMC FAMILY MEDICINE GROUP ROSS HALSTED HARRISON, AR NARMC FAMILY MEDICINE GROUP CHRISTOPHER BARANYK HARRISON, AR NARMC FAMILY MEDICINE GROUP THOMAS ROSSON JR HARRISON, AR NARMC FAMILY MEDICINE GROUP ELIZABETH MORGAN HARRISON, AR NARMC FAMILY MEDICINE GROUP JOSEPH GRAVES HARRISON, AR Page 13 of 21 Shared Performance Entity 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE Shared Performance Entity NAYLES MEDICAL CLINIC LEE NAYLES LITTLE ROCK, AR Statewide Default Pool NEA BAPTIST CLINIC STEPHEN WOODRUFF JONESBORO, AR NEA BAPTIST CLINIC RAY HALL JONESBORO, AR NEA BAPTIST CLINIC MICHAEL TEDDER JONESBORO, AR NEA BAPTIST CLINIC DOUGLAS MAGLOTHIN JONESBORO, AR NEA BAPTIST CLINIC MICHAEL CRAWLEY JONESBORO, AR NEA BAPTIST CLINIC WALLACE HOKE JONESBORO, AR NEA BAPTIST CLINIC SANDRA STUBBLEFIELD JONESBORO, AR NEA BAPTIST CLINIC ALBERT MCGRATH JR JONESBORO, AR NEA BAPTIST CLINIC ARNOLD GILLIAM JONESBORO, AR NEA BAPTIST CLINIC TRENT LAMB JONESBORO, AR NEA BAPTIST CLINIC JEFFERY BARBER JONESBORO, AR NEA BAPTIST CLINIC MATTHEW JACKSON JONESBORO, AR NEA BAPTIST CLINIC RANDALL CARLTON JONESBORO, AR NEA BAPTIST CLINIC TOMMY TAYLOR JONESBORO, AR NEA BAPTIST CLINIC TIMOTHY SHOWN JONESBORO, AR NEA BAPTIST CLINIC NATHAN TURNEY JONESBORO, AR NEA BAPTIST CLINIC BRANNON TREECE JONESBORO, AR NEA BAPTIST CLINIC LESLYE MCGRATH JONESBORO, AR NEA BAPTIST CLINIC MEGHAN LYERLY JONESBORO, AR NEA BAPTIST CLINIC MICHAEL LYERLY JONESBORO, AR NEA BAPTIST CLINIC ANDREW WALTERS JONESBORO, AR NEA BAPTIST CLINIC MARYJOANNE UMEORA JONESBORO, AR NEA BAPTIST CLINIC NOMATHAMSANQ MOYO JONESBORO, AR NEA BAPTIST CLINIC ALI HAYDAR JONESBORO, AR NEA BAPTIST CLINIC CAMILLE CHAN JONESBORO, AR NEWSOME CARLTON M MD CARLTON NEWSOME EL DORADO, AR Petite Pool NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES, P.A KEVIN ADKINS MOUNTAIN HOME, AR Petite Pool NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES, P.A EDWARD WHITE MOUNTAIN HOME, AR Petite Pool NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES, P.A CATHY CLARY MOUNTAIN HOME, AR Petite Pool NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES, P.A MICHAEL HODGES MOUNTAIN HOME, AR Petite Pool NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES, P.A RONALD EZELL MOUNTAIN HOME, AR Petite Pool NORTH LITTLE ROCK FAMILY PRACTICE JASMINE BRATHWAITE NORTH LITTLE ROCK, AR NORTH LITTLE ROCK FAMILY PRACTICE ADAM GRANT NORTH LITTLE ROCK, AR NORTH LITTLE ROCK PRIMARY CARE ROSE BULLOCK NORTH LITTLE ROCK, AR NORTHWEST PHYSICIANS LLC MARK LOVELL SPRINGDALE, AR NORTHWEST PHYSICIANS LLC JEFFREY BEARDEN SPRINGDALE, AR NORTHWEST PHYSICIANS LLC DAVID FOSCUE SPRINGDALE, AR NORTHWEST PHYSICIANS LLC JOHN PRICE SPRINGDALE, AR NORTHWEST PHYSICIANS LLC STEVEN KEMPSON SPRINGDALE, AR NORTHWEST PHYSICIANS LLC RONNY PHIPPS SPRINGDALE, AR NORTHWEST PHYSICIANS LLC RANDY CONOVER SPRINGDALE, AR NORTHWEST PHYSICIANS LLC ROBERT WILSON III SPRINGDALE, AR NORTHWEST PHYSICIANS LLC ANNA EREMIEVA SPRINGDALE, AR Page 14 of 21 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE NORTHWEST PHYSICIANS LLC AMY IRWIN SPRINGDALE, AR NORTHWEST PHYSICIANS LLC SCOTT MUSICK SPRINGDALE, AR NORTHWEST PHYSICIANS LLC DUSTIN POPE SPRINGDALE, AR NORTHWEST PHYSICIANS LLC GEORGE DECLERK SPRINGDALE, AR NORTHWEST PHYSICIANS LLC LARRY COKER SPRINGDALE, AR NORTHWEST PHYSICIANS LLC MICHELLE ANG POLAND SPRINGDALE, AR NORTHWEST PHYSICIANS LLC PEARL SAMUEL SPRINGDALE, AR OGE BRIAN T MD BRIAN OGE NASHVILLE, AR OGLESBY JAMES JAMES OGLESBY ASHDOWN, AR OUACHITA VALLEY FAMILY CLINIC LAWRENCE BRADEN CAMDEN, AR OUACHITA VALLEY FAMILY CLINIC MARK CRUMP CAMDEN, AR OUACHITA VALLEY FAMILY CLINIC DAVID MOSLEY CAMDEN, AR OUACHITA VALLEY FAMILY CLINIC JOHNATHAN LEWIS CAMDEN, AR OUACHITA VALLEY FAMILY CLINIC WILLIAM DEDMAN CAMDEN, AR OUACHITA VALLEY FAMILY CLINIC JERAKAYCIA SMITH CAMDEN, AR OZARK MEDICAL CLINIC LLC KEITH COWARD CLINTON, AR OZARK PEDIATRICS CRAIG KEEVER ROGERS, AR OZARK PEDIATRICS WHITNEY ALEXANDER ROGERS, AR PARAGOULD DOCTORS CLINIC CULBER SHOTTS PARAGOULD, AR PARAGOULD DOCTORS CLINIC DWIGHT WILLIAMS PARAGOULD, AR PARAGOULD DOCTORS CLINIC LANCE MONROE PARAGOULD, AR PARAGOULD DOCTORS CLINIC WALTER SHORT PARAGOULD, AR PATRICK D ANTOON PATRICK ANTOON STAMPS, AR PEDIATRIC ASSOCIATES OF WESTMEMP AYESHA SHAH WEST MEMPHIS, AR PEDIATRIC ASSOCIATES OF WESTMEMP DOUGLAS CAMPBELL WEST MEMPHIS, AR PEDIATRIC ASSOCIATES OF WESTMEMP JOHANNA MALLARE WEST MEMPHIS, AR PEDIATRIC ASSOCIATES OF WESTMEMP YOUSEF SHADDOOD WEST MEMPHIS, AR PEDIATRIC CLINIC PA STEVE FIEDOREK SHERWOOD, AR PEDIATRIC CLINIC PA KIMBERLY HURLBUT SHERWOOD, AR PEDIATRIC CLINIC PA KIMBERLY CLINTON SHERWOOD, AR PEDIATRIC CLINIC PA LOURIE BATTLES SHERWOOD, AR PEDIATRIC CLINIC PA BISHAWN MORRIS SHERWOOD, AR PEDIATRIC CLINIC PA WILLIAM STILL SHERWOOD, AR PEDIATRIC CLINIC PA HOLLY MONTGOMERY SHERWOOD, AR PEDIATRIC PARTNERS PA KATHRYN HENDRICKSON FORT SMITH, AR PEDIATRIC PARTNERS PA JON HENDRICKSON FORT SMITH, AR PEDIATRIC PARTNERS PA CHRISTOPHER SCHLUTERMAN FORT SMITH, AR PIERCE TRENT P MD TRENT PIERCE WEST MEMPHIS, AR PILLOW CLINIC PLLC JAMES PILLOW HELENA, AR PILLOW CLINIC PLLC GILL PILLOW HELENA, AR PILLOW CLINIC PLLC JILL PILLOW HELENA, AR PILLOW CLINIC PLLC EDWARD PILLOW HELENA, AR POCAHONTAS MEDICAL CLINIC, PA DANNY HOLT POCAHONTAS, AR POCAHONTAS MEDICAL CLINIC, PA JUSTIN DAWSON POCAHONTAS, AR Page 15 of 21 Shared Performance Entity Statewide Default Pool Statewide Default Pool Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE POCAHONTAS MEDICAL CLINIC, PA BRENT HOLT POCAHONTAS, AR POCAHONTAS MEDICAL CLINIC, PA ALEXANDER BALTZ POCAHONTAS, AR POCAHONTAS MEDICAL CLINIC, PA NATASHA WANTULOK POCAHONTAS, AR RACHEL C KING MD PA RACHEL KING ASHDOWN, AR RAY ROBIN P MD ROBIN RAY EL DORADO, AR REGIONAL FAMILY MEDICINE, PA JGREGORY ELDERS MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA SHARON PRITCHARD MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA MICHAEL HAGAMAN MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA GEORGE LAWRENCE MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA LONNIE ROBINSON MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA RONALD BRUTON MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA LORI CHENEY MOUNTAIN HOME, AR REGIONAL FAMILY MEDICINE, PA ANDREA BOUNDS MOUNTAIN HOME, AR REINHART FAMILYHEALTHCARE PLLC JEFFREY REINHART MONTICELLO, AR RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC NEYLON PILKINGTON RUSSELLVILLE, AR RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC ROBIN KIRBY RUSSELLVILLE, AR S W FAMILY PRACTICE JERRY STRINGFELLOW TEXARKANA, AR S W FAMILY PRACTICE RUSSELL MAYO TEXARKANA, AR S W FAMILY PRACTICE MICHAEL DOWNS TEXARKANA, AR S W FAMILY PRACTICE MATTHEW NIX TEXARKANA, AR S W FAMILY PRACTICE KYLE DIAZ TEXARKANA, AR S W FAMILY PRACTICE CHERYL VERMA TEXARKANA, AR S W FAMILY PRACTICE RM UNIVERSITY OF ARKANSAS FO TEXARKANA, AR S.A HALL, M.D., P.A SCOTT HALL HELENA, AR SALINE MED PEDS GROUP INC MARK MARTINDALE BENTON, AR SAMA HEALTHCARE SERVICES PA GARY BEVILL EL DORADO, AR SAMA HEALTHCARE SERVICES PA DEANNA HOPSON EL DORADO, AR SAMA HEALTHCARE SERVICES PA MATTHEW CALLAWAY EL DORADO, AR SAMA HEALTHCARE SERVICES PA RUSSELL HATLEY EL DORADO, AR SAMA HEALTHCARE SERVICES PA ERIN GOSS EL DORADO, AR SAMA HEALTHCARE SERVICES PA CHRISTINA MONTEITH EL DORADO, AR SAVERITT PEDIATRICS, PLLC SUSAN AVERITT SPRINGDALE, AR SCHMITZ FAMILY PRACTICE & JAMES SCHMITZ CHARLESTON, AR Statewide Default Pool SCHMITZ FAMILY PRACTICE & WILLIAM HAYES CHARLESTON, AR Statewide Default Pool SCRIBNER FAMILY PRACTICE CLINIC, LLC JOHN SCRIBNER SALEM, AR Statewide Default Pool SHAWN PURIFOY, M.D, P.A SHAWN PURIFOY MALVERN, AR SHERWOOD FAMILY MEDICAL CLINIC JANE MIERS SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC CINDY ROWE SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC DEVON BALLARD SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC DAVID GERSON SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC ASHLEY DAVIS SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC LAURA WILSON SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC MARTHA RUEDA SHERWOOD, AR SHERWOOD FAMILY MEDICAL CLINIC JOHN COCKERELL SHERWOOD, AR Page 16 of 21 Shared Performance Entity Statewide Default Pool Statewide Default Pool Statewide Default Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE SHERWOOD FAMILY MEDICAL CLINIC JOHN WINNINGHAM SHERWOOD, AR SHILOH CLINIC WASHINGTON REGIONAL WILLIAM KENDRICK SPRINGDALE, AR SHILOH CLINIC WASHINGTON REGIONAL REX PORTE SPRINGDALE, AR SHILOH CLINIC WASHINGTON REGIONAL WILLIAM ROGERS SPRINGDALE, AR SOLOMON C MOGBO, MD SOLOMON MOGBO LITTLE ROCK, AR SOOMAN SANDRA ANN K MD SANDRAANN SOOMAN TEXARKANA, AR SOPHIA MEYER FAMILY MEDICINE LLC REBECCA FLOYD VAN BUREN, AR Statewide Default Pool SOPHIA MEYER FAMILY MEDICINE LLC STEPHANIE FRISBIE VAN BUREN, AR Statewide Default Pool ST ANTHONYS HEALTH CLINIC KEITH LIPSMEYER MORRILTON, AR ST ANTHONYS HEALTH CLINIC CLARK TRAPP MORRILTON, AR ST VINCENT MEDICAL GROUP THOMAS CAIN LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ROBERT CASPER LITTLE ROCK, AR ST VINCENT MEDICAL GROUP LESLIE ANDERSON LITTLE ROCK, AR ST VINCENT MEDICAL GROUP PAUL VALENTIN-STONE LITTLE ROCK, AR ST VINCENT MEDICAL GROUP WILLIAM JOSEPH LITTLE ROCK, AR ST VINCENT MEDICAL GROUP RALPH JOSEPH II LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ROBERT HENRY LITTLE ROCK, AR ST VINCENT MEDICAL GROUP LAURA OTTER LITTLE ROCK, AR ST VINCENT MEDICAL GROUP VINCENT CALDERON LITTLE ROCK, AR ST VINCENT MEDICAL GROUP KEITH COOPER LITTLE ROCK, AR ST VINCENT MEDICAL GROUP RAYMOND EDWARDS LITTLE ROCK, AR ST VINCENT MEDICAL GROUP BRAD KAEMMERLING LITTLE ROCK, AR ST VINCENT MEDICAL GROUP JENNIFER CO LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ANN LAYTON LITTLE ROCK, AR ST VINCENT MEDICAL GROUP SANJAY DASS LITTLE ROCK, AR ST VINCENT MEDICAL GROUP MARK DYER LITTLE ROCK, AR ST VINCENT MEDICAL GROUP RACHEL WHITE LITTLE ROCK, AR ST VINCENT MEDICAL GROUP NOSHEEN MIAN LITTLE ROCK, AR ST VINCENT MEDICAL GROUP HEATH SHOWALTER LITTLE ROCK, AR ST VINCENT MEDICAL GROUP SILPA MARAM LITTLE ROCK, AR ST VINCENT MEDICAL GROUP SRIDHAR MADGULA LITTLE ROCK, AR ST VINCENT MEDICAL GROUP APOLINAR BORDADOR LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ROBYN WILKERSON LITTLE ROCK, AR ST VINCENT MEDICAL GROUP JAMES WILKERSON LITTLE ROCK, AR ST VINCENT MEDICAL GROUP VYJAYANTHI GANGA LITTLE ROCK, AR ST VINCENT MEDICAL GROUP MARK VIEGAS LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ERIC JOSEPH LITTLE ROCK, AR ST VINCENT MEDICAL GROUP ALEOBE ERUEMULOR LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC JOSEPH ELSER LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC MICHAEL FORD LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC STEVE SIMPSON LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC GILBERT FOSTER LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC CAMILLE BRASWELL LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC SRINIVASAN RAMASWAMY LITTLE ROCK, AR Page 17 of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE ST VINCENT PHYSICIAN CLINICS LLC ROOPA SAMANT LITTLE ROCK, AR ST VINCENT PHYSICIAN CLINICS LLC JEREMY HARWOOD LITTLE ROCK, AR SUDESH BANAJI, MD PLLC SUDESH BANAJI EARLE, AR Statewide Default Pool SUDESH BANAJI, MD PLLC PURNIMA SARKAR EARLE, AR Statewide Default Pool TILLEY DIAGNOSTIC CLINIC PA ABSALOM TILLEY MALVERN, AR Petite Pool TILLEY DIAGNOSTIC CLINIC PA GINA TILLEY MALVERN, AR Petite Pool TLC PEDIATRICS, PLLC TERENCE CHAMPLIN CONWAY, AR TLC PEDIATRICS, PLLC KELLEY MEENA CONWAY, AR TLC PEDIATRICS, PLLC SHAYNA WOOD CONWAY, AR TOLOSA ELIZABETH C ELIZABETH TOLOSA EL DORADO, AR UNITY HEALTH MEDICAL CLINIC GLEN KNOWLES HEBER SPRINGS, AR UNITY HEALTH MEDICAL CLINIC CHERYL CLEVENGER HEBER SPRINGS, AR UNITY HEALTH PHYSICIAN GROUP ROGER GREEN NEWPORT, AR UNITY HEALTH PHYSICIAN GROUP VIRGINCITA FUENTES RODRIGU NEWPORT, AR UNITY HEALTH PHYSICIAN GROUP IAN PARKER NEWPORT, AR UNITY HEALTH RED RIVER FAMILY MED SHANNON SWIFT CLINTON, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES MARCUS OBRIEN LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES HANNAH BEENE LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES BRIAN HARDIN LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES DEBRA BECTON LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES KAREN YOUNG LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES ALVA SIMMONS LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES JAMES MAGEE LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES ROSANA DIOKNO LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES EDUARDO OCHOA JR LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES LAURA SISTERHEN LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES SOWMYA PATIL LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES ASHLEY ANTIPOLO LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES JULIA HUGHES LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES ALICE ALEXANDER LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES KYLER CRARY LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES MICHAEL ISRAEL LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES EMILY SMITH LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES REBECCA PERIN LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES KAITLIN COCKERELL LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES VILDAN TAS LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES EMILY MALONE LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES INDUJA GUNASEKARAN LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES SHERYL DAVIDE-URETA LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES CHENIA EUBANKS LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES HANNAH RENNO LITTLE ROCK, AR UNIVERSITY OF ARKANAS FOR MEDICAL SCIENCES SARAH SOBIK LITTLE ROCK, AR UNIVERSITY OF ARKANSAS FOR DAVID KING FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR EDWARD GILLS FORT SMITH, AR Page 18 of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE UNIVERSITY OF ARKANSAS FOR KATHERINE IRISH-CLARDY FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR BRYAN CLARDY FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR TABASUM IMRAN FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR JOHN LANE FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR LYNDSEY KRAMP FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR CHRISTOPHER FORTSON FORT SMITH, AR UNIVERSITY OF ARKANSAS FOR M LINDA MCGHEE FAYETTEVILLE, AR UNIVERSITY OF ARKANSAS FOR M RMEDICA UNIVERSITY OF ARKANSAS FO FAYETTEVILLE, AR UNIVERSITY OF ARKANSAS FOR M HUNTER JUDKINS FAYETTEVILLE, AR UNIVERSITY OF ARKANSAS FOR M BRITTANY VAUGHN FAYETTEVILLE, AR UNIVERSITY OF ARKANSAS FOR M EDWARD YANG FAYETTEVILLE, AR UNIVERSITY OF ARKANSAS FOR M RICHARD JUSTISS PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M HERBERT FENDLEY PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M KEITH BENNETT PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M STEVEN WRIGHT PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M DARRELL OVER PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M TONI MIDDLETON PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M JASON COBB PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR M RAYNA PENISTER PINE BLUFF, AR UNIVERSITY OF ARKANSAS FOR MEDI RONALD BRIMBERRY SPRINGDALE, AR UNIVERSITY OF ARKANSAS FOR MEDI DERRICK GRAY SPRINGDALE, AR UNIVERSITY OF ARKANSAS FOR MEDI MICHAEL MACECHKO SPRINGDALE, AR UNIVERSITY OF ARKANSAS FOR MEDI MARIELIE AESILAS SPRINGDALE, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES JULIA ROULIER BATESVILLE, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES MICHAEL WEAVER BATESVILLE, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TIMOTHY MCNAMARA BATESVILLE, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TRAVIS EWING HELENA, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES MARK BROWN JONESBORO, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES SCOTT LAFFOON JONESBORO, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES SCOTT DICKSON JONESBORO, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES JEANNE ROSS JONESBORO, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES GRACE CHIU JONESBORO, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES JOHN ALEXANDER JR MAGNOLIA, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES PETER CARROLL MAGNOLIA, AR UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES MIMO LEMDJA MAGNOLIA, AR VONDA GALE HOUCHIN MD PA VONDA HOUCHIN HARRISBURG, AR WAGNER MEDICAL CLINIC KRISTI STATLER LEPANTO, AR WAGNER MEDICAL CLINIC TOMMY WAGNER LEPANTO, AR WALKER RANDY PLLC RANDY WALKER DEQUEEN, AR WASHINGTON REGIONAL FAMILY CLINIC DAN BELL EUREKA SPRINGS, AR WASHINGTON REGIONAL FAMILY CLINIC PAUL DAIDONE EUREKA SPRINGS, AR WASHINGTON REGIONAL FAMILY CLINIC STACEY BURNETT EUREKA SPRINGS, AR WASHINGTON REGIONAL FAMILY CLINIC JOHN HOUSE EUREKA SPRINGS, AR WASHINGTON REGIONAL FAMILY CLINIC JON LOUDERMILK EUREKA SPRINGS, AR Page 19 of 21 Shared Performance Entity Petite Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE WASHINGTON REGIONAL FAMILY CLINIC JAMAL ABDIN FARMINGTON, AR WASHINGTON REGIONAL FAMILY CLINIC JANTZEN SLATER FARMINGTON, AR WASHINGTON REGIONAL FAMILY CLINIC FRANCES RADKEY FAYETTEVILLE, AR WASHINGTON REGIONAL FAMILY CLINIC TYLER BROCKMAN FAYETTEVILLE, AR WASHINGTON REGIONAL FAMILY CLINIC MATTHEW TOTTEN SPRINGDALE, AR WASHINGTON REGIONAL MEDICAL SYSTEM STACY ARMSTRONG HARRISON, AR WASHINGTON REGIONAL MEDICAL SYSTEM VICTOR ARMSTRONG HARRISON, AR WASHINGTON REGIONAL MEDICAL SYSTEM SUSAN FERGUSON LINCOLN, AR WASHINGTON REGIONAL MEDICAL SYSTEM JENNIFER CHEATHAM LINCOLN, AR WENGER KRISTINA M MD KRISTINA WENGER PARAGOULD, AR WEST GATE FAMILY MEDICINE BARTON PARISH HOT SPRINGS, AR WEST GATE FAMILY MEDICINE RICHARD FINCH HOT SPRINGS, AR WEST GATE FAMILY MEDICINE AMY REEVES HOT SPRINGS, AR WESTSIDE FAMILY MEDICAL CLINIC TIMOTHY KILLOUGH SEARCY, AR WHITE COUNTY MEDICAL CENTER DEWEY MCAFEE BEEBE, AR WHITE COUNTY MEDICAL CENTER JAMES REEVES BEEBE, AR WHITE COUNTY MEDICAL CENTER MICHAEL JUSTUS SEARCY, AR WHITE COUNTY MEDICAL CENTER DON CARTER SEARCY, AR WHITE COUNTY MEDICAL CENTER JIM CITTY SEARCY, AR WHITE COUNTY MEDICAL CENTER DAVID JOHNSON SEARCY, AR WHITE COUNTY MEDICAL CENTER CLARK FINCHER SEARCY, AR WHITE COUNTY MEDICAL CENTER EDWARD MCADAMS SEARCY, AR WHITE COUNTY MEDICAL CENTER TERRENCE YATES SEARCY, AR WHITE COUNTY MEDICAL CENTER DONALD MOORE SEARCY, AR WHITE COUNTY MEDICAL CENTER JAMES WILKINS SEARCY, AR WHITE COUNTY MEDICAL CENTER MICHAEL BARDEN SEARCY, AR WHITE COUNTY MEDICAL CENTER JENNIFER FAITH SEARCY, AR WHITE COUNTY MEDICAL CENTER REID THOMAS SEARCY, AR WHITE COUNTY MEDICAL CENTER DANIEL PACE SEARCY, AR WHITE COUNTY MEDICAL CENTER SAMUEL TUCKER SEARCY, AR WHITE COUNTY MEDICAL CENTER MARK GUSTKE SEARCY, AR WHITE RIVER HEALTH SYSTEM INC MELODY MOODY BATESVILLE, AR WHITE RIVER HEALTH SYSTEM INC PREMNATH CHINNAIYAN BATESVILLE, AR WHITE RIVER HEALTH SYSTEM INC AMANDA SMITH BATESVILLE, AR WHITE RIVER HEALTH SYSTEM INC ANDY DAVIDSON CAVE CITY, AR WHITE RIVER HEALTH SYSTEM INC TIMOTHY YOUNG CHEROKEE VILLAGE, AR WHITE RIVER HEALTH SYSTEM INC TERRY BURNS CHEROKEE VILLAGE, AR WHITE RIVER HEALTH SYSTEM INC LAUREN BLOCH CHEROKEE VILLAGE, AR WHITE RIVER HEALTH SYSTEM, INC RANDALL HUNT NEWPORT, AR WHITE RIVER HEALTH SYSTEM, INC NICOLE LAWSON NEWPORT, AR WHITE RIVER HEALTH SYSTEM, INC RONALD SIMPSON MOUNTAIN VIEW, AR WHITE RIVER HEALTH SYSTEM, INC MICHELLE BISHOP MOUNTAIN VIEW, AR WILKIN TIMOTHEE T DO TIMOTHEE WILKIN WHITE HALL, AR WILKINS BENJAMAN T MDINC BENJAMAN WILKINS SEARCY, AR Page 20 of 21 Shared Performance Entity Statewide Default Pool 2020 PCMH Enrollment (09/16/20) PCMH GROUP NAME PCP NAME CITY/STATE WILLIAM H FREEM AN MD PA H WILLIAM FREEMAN CONWAY, AR WILLIAM H FREEM AN MD PA H WILLIAM FREEMAN CONWAY, AR WILLIAMS ROBIN C MDPA ROBIN WILLIAMS BATESVILLE, AR WILLIS SHERITA D MD SHERITA WILLIS OSCEOLA, AR WINSTON CLINIC PA SCOTT WINSTON SHERIDAN, AR WRHS GRASSE MEMORIAL CLINIC DONALD WRIGHT CALICO ROCK, AR WRHS GRASSE MEMORIAL CLINIC BETHANY KNIGHT CALICO ROCK, AR Page 21 of 21 Shared Performance Entity Statewide Default Pool