NPIMap

Organization Active NPI

North Arkansas Regional Medical Center

Doing business as Narmc Berryville Clinic

  • Family Medicine Physician
  • Berryville, AR
National Provider Identifier
1104357961
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Doing business as
Narmc Berryville Clinic
Practice address
408 Orchard Dr
Berryville, AR 72616-4320
Phone
(870) 423-2320
Fax
(870) 423-7431
NPI assigned
Mar 23, 2017
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH ARKANSAS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Andrea Smith
Title
VP Financial Services/Cfo
Phone
(870) 414-4285

Specialties & licenses 1

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

Addresses

Primary practice location

408 Orchard Dr
Berryville, AR 72616-4320

Mailing address

P O Box 2990
Harrison, AR 72602-2990
Phone (870) 414-4000

Other names 1

  • NARMC BERRYVILLE CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000450 AR Part B Supplier - Clinic/Group Practice 5193615896 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berryville, AR; Harrison, AR; Jasper, AR

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2127186Narmc Physician's Clinic of Berryville408 Orchard Rd, Berryville, AR 72616Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Newton County Family PR27 organizations share this tax ID, including this one
Part of
Newton County Family PR

Other organizations with this tax ID 26

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

View all 26

Locations

620 N Main St
Ste 2D
Harrison, AR 72601
Phone (870) 414-4599

Practitioners & affiliated clinicians

Practitioners 12

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": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1104357961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2990",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022990",
            "telephone_number": "870-414-4000",
            "fax_number": "870-414-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ORCHARD DR",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164320",
            "telephone_number": "870-423-2320",
            "fax_number": "870-423-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-03-06",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES/CFO",
        "authorized_official_telephone_number": "870-414-4285"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NARMC BERRYVILLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.