NPIMap

Organization Active NPI

Phillips Clinic Company, LLC

  • Surgery Physician
  • Helena, AR
National Provider Identifier
1003031600
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PHILLIPS CLINIC COMPANY, LLC
Practice address
1801 Martin Luther King Jr Dr
Helena, AR 72342-8998
Phone
(870) 816-3900
Fax
(870) 816-3909
NPI assigned
Apr 17, 2007
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Taylor Marshall
Title
Attorney
Phone
(501) 786-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X AR Primary

Addresses

Primary practice location

1801 Martin Luther King Jr Dr
Helena, AR 72342-8998

Mailing address

1801 Martin Luther King Jr Dr
Helena, AR 72342-8998
Phone (870) 816-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000539 AR Part B Supplier - Clinic/Group Practice 3870576259 Receives reassigned benefits from 6 practitioners
Practice locations: Helena, AR; Marianna, AR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Helena Medical Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 Martin Luther King Jr Dr
Rm 2
Helena, AR 72342
Phone (870) 816-3917

1803 Martin Luther King Jr Dr
Ste A
Helena, AR 72342
Phone (870) 338-7441

15 N Poplar St
Marianna, AR 72360
Phone (870) 295-3430

801 W Martin Luther King Jr Dr
West Helena, AR 72390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1590/brand/1/csg/81/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1003031600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MARTIN LUTHER KING JR DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428998",
            "telephone_number": "870-816-3900",
            "fax_number": "870-816-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MARTIN LUTHER KING JR DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428998",
            "telephone_number": "870-816-3900",
            "fax_number": "870-816-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "501-786-4007"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.