Phillips Clinic Company, LLC

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

Organization subpart

No

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

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Phillips Clinic Company, LLC

  • Rural Health Clinic/Center
  • Marianna, AR
  • NPI 1033999396

  3870576259

  Same PAC ID
• Phillips Clinic Company, LLC

  • Rural Health Clinic/Center
  • Helena, AR
  • NPI 1053192401

  3870576259

  Same PAC ID

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.

• Phillips Clinic Company, LLC

  • Rural Health Clinic/Center
  • Marianna, AR
  • NPI 1033999396
  NPD tax ID
• Phillips Clinic Company, LLC

  • Rural Health Clinic/Center
  • Helena, AR
  • NPI 1053192401
  NPD tax ID
• Phillips Clinic Company, LLC

  • Family Medicine Physician
  • Helena, AR
  • NPI 1265434484
  NPD tax ID

Locations

Interoperability endpoints

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Britni Cartillar, APRN

  • Family Nurse Practitioner
  • Wynne, AR
  • NPI 1437526944
  Medicare reassignment Care Compare group NPD
• Dana R. Reed, APN

  • Family Nurse Practitioner
  • De Witt, AR
  • NPI 1114145893
  Medicare reassignment Care Compare group NPD
• Monica Shea Martin, APRN

  • Family Nurse Practitioner
  • Helena, AR
  • NPI 1518362839
  Medicare reassignment NPD
• John Andrew Oliver, M.D.

  • Diagnostic Radiology Physician
  • Helena, AR
  • NPI 1073775466

  Single Specialty

  Medicare reassignment NPD
• Thomas O Bailey, MD

  • Family Medicine Physician
  • Marianna, AR
  • NPI 1851403422
  Medicare reassignment
• David Lee Webber I, D.O.

  • Family Medicine Physician
  • Helena, AR
  • NPI 1760472021
  Medicare reassignment

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330987729",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C907",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166751002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Andrew Oliver, M.D.
• Omega Care Inc
• P. Reddy Tukivakala, M.D., P.a.
• Leroy Parker
• Leslie Partridge
• Phillips Clinic Company, LLC
• Phillips Clinic Company, LLC
• Phillips Emergency Group LLC
• Phillips Hospital Company LLC
• Phillips Hospital Company LLC

• Surgery Physician in Helena, AR
• Providers in Helena, AR by specialty
• Surgery Physician in Arkansas

• 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.