1501 Michael Drive, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

1501 MICHAEL DRIVE, LLC

Practice address

1509 Michael Dr
Little Rock, AR 72204-2336

Phone

(501) 480-5555

Fax

(501) 353-1403

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Georgia Johnston

Title

President

Phone

(501) 224-0846

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

1501 Michael Drive LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 1501 Michael Drive, LLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1881559029
  NPD tax ID

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1104784750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHACKLEFORD PLZ STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111886",
            "telephone_number": "501-224-0846",
            "fax_number": "501-224-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MICHAEL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042336",
            "telephone_number": "501-480-5555",
            "fax_number": "501-353-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1501 MICHAEL DRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-224-0846"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353118796",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Ann :Moix, PHYSICAL THERAPIST
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• 1501 Michael Drive, LLC
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• Community/Behavioral Health Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.