NPIMap

Organization Active NPI

White County Medical Center

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1043784366
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE COUNTY MEDICAL CENTER
Practice address
2251 Bill Foster Memorial Hwy # B
Cabot, AR 72023-7200
Phone
(501) 941-3345
NPI assigned
Jan 21, 2019
Organization subpart
Yes
Parent organization
WHITE COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Laura Gillenwater, CPA
Title
Cfo/VP Treasurer
Phone
(501) 380-1010

Specialties & licenses 1

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

Addresses

Primary practice location

2251 Bill Foster Memorial Hwy # B
Cabot, AR 72023-7200

Mailing address

2251 Bill Foster Memorial Hwy # B
Cabot, AR 72023-7200
Phone (501) 941-3345

Other identifiers 1

IdentifierTypeStateIssuer
233042002MedicaidAR

Other names 1

  • Unity Health Medical Clinic of Cabot Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000018 AR Part B Supplier - Clinic/Group Practice 4880688654 Receives reassigned benefits from 176 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, AR; Searcy, AR; Pocahontas, AR; New Port, AR; Heber Springs, AR; Clinton, AR; Cabot, AR; Bradford, AR…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
White County Medical Ce18 organizations share this tax ID, including this one
Part of
White County Medical Ce

Other organizations with this tax ID 17

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

View all 17

Locations

2251 Bill Foster Memorial Hwy
Cabot, AR 72023
Phone (501) 474-6199

Practitioners & affiliated clinicians

Practitioners 9

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": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1043784366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 BILL FOSTER MEMORIAL HWY # B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237200",
            "telephone_number": "501-941-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 BILL FOSTER MEMORIAL HWY # B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237200",
            "telephone_number": "501-941-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE COUNTY MEDICAL CENTER",
        "enumeration_date": "2019-01-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GILLENWATER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO/VP TREASURER",
        "authorized_official_telephone_number": "501-380-1010",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233042002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Health Medical Clinic of Cabot",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Health Medical Clinic of Cabot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.