Organization Active NPI

North Hills Family Clinic PA

Doing business as North Hills Family Medical Center

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1043327950
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH HILLS FAMILY CLINIC PA
Doing business as
North Hills Family Medical Center
Practice address
4509 E McCain Blvd
North Little Rock, AR 72117-2902
Phone
(501) 945-4200
Fax
(501) 945-0906
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Mrs. Pennie M Biggerstaff
Title
Administrator
Phone
(501) 945-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AR Primary

Addresses

Primary practice location

4509 E McCain Blvd
North Little Rock, AR 72117-2902

Mailing address

4509 E McCain Blvd
North Little Rock, AR 72117-2902
Phone (501) 945-4200

Other names 1

  • North Hills Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000644 AR Part B Supplier - Clinic/Group Practice 8820991011 Receives reassigned benefits from 3 practitioners
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

4601 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-0906

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1043327950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172902",
            "telephone_number": "501-945-4200",
            "fax_number": "501-945-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 E MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172902",
            "telephone_number": "501-945-4200",
            "fax_number": "501-945-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HILLS FAMILY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "BIGGERSTAFF",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-945-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hills Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.