Active NPI
Baptist Health
Doing business as Baptist Health Family Clinic - Sheridan
- Rural Health Clinic/Center
- Sheridan, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BAPTIST HEALTH
- Doing business as
- Baptist Health Family Clinic - Sheridan
- Practice address
- 651 Heritage Dr
Sheridan, AR 72150-5000 - Phone
- (501) 332-1000
- NPI assigned
- Nov 20, 2023
- Last updated
- Feb 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Troy Wells
- Title
- President
- Phone
- (501) 202-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
651 Heritage Dr
Sheridan, AR 72150-5000
Mailing address
651 Heritage Dr
Sheridan, AR 72150-5000
Other names 1
- Baptist Health Family Clinic - Sheridan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210504000413 | AR | Part B Supplier - Clinic/Group Practice | 0648177949 |
Receives reassigned benefits from 41 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Little Rock, AR; Sparkman, AR; Sheridan, AR; Russellville, AR; Perryville, AR; Monticello, AR; Malvern, AR; Heber Springs, AR… |
| O20240506003733 | AR | Part A Provider - Rural Health Clinic | 0648177949 |
1 other NPI on this enrollment Practice locations: Sheridan, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114792157. Details of each certification follow.
Rural health clinic certification: CCN 048545
- Legal name
- BAPTIST HEALTH
- Doing business as
- BAPTIST HEALTH FAMILY CLINIC - SHERIDAN
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 29, 2024
- Last certification
- Jul 29, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation
- Incorporated
- Oct 1, 1920 in AR
- Enrollment address
- 651 Heritage Dr
Sheridan, AR 72150-5000 - Related CCNs
- 040076
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Baptist Health Medical Center- Hot Spring County
- General Acute Care Hospital
- Malvern, AR
- NPI 1902868391
Parent provider
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Baptist Health Family Clinic - Sheridan
- Rural Health Clinic/Center
- Sheridan, AR
- NPI 1255190989
O20240506003733
-
dba Baptist Health Family Clinic - Beebe
- Rural Health Clinic/Center
- Beebe, AR
- NPI 1376336883
O20210504000413
-
dba Baptist Health Family Clinic - Sparkman
- Rural Health Clinic/Center
- Sparkman, AR
- NPI 1427630110
O20210504000413
-
dba Baptist Health Family Clinic - Malvern
- Rural Health Clinic/Center
- Malvern, AR
- NPI 1477201937
O20210504000413
-
dba Baptist Health - UAMS Cancer Clinic
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1487363099
O20210504000413
-
dba Baptist Health Family Clinic - Russellville
- Rural Health Clinic/Center
- Russellville, AR
- NPI 1689467102
O20210504000413
-
dba Baptist Health Family Clinic - Perryville
- Rural Health Clinic/Center
- Perryville, AR
- NPI 1790578219
O20210504000413
-
dba Baptist Health Cancer Clinic - Drew County
- Medical Oncology Physician
- Monticello, AR
- NPI 1861266793
O20210504000413
-
dba BH Cancer Center - Heber Springs
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
O20210504000413
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2296901 | Baptist Health Family Clinic - Sheridan | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Emergency Specialists-a
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Baptist Health Family Clinic Greers Ferry
- Rural Health Clinic/Center
- Greers Ferry, AR
- NPI 1003821703
-
- Customized Equipment (DME)
- Arkadelphia, AR
- NPI 1013059088
-
dba Baptist Health Ambulance Service - Arkadelphia
- Land Ambulance
- Arkadelphia, AR
- NPI 1013351931
-
- Rural Health Clinic/Center
- Heber Springs, AR
- NPI 1104268689
-
dba Baptist Health Medical Towers Pharmacy
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1124095070
-
dba Baptist Hospice
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1164526554
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
-
dba Baptist Health Rehabilitation Institute
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Locations
651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry White | Corporate Director | Jan 1, 2025 | |
| Baptist Health | Operational/Managerial Control | Mar 15, 2024 | 100% |
| Ronald Dedman | Corporate Director | Jan 1, 2022 | |
| Lamarr Bailey | Corporate Director | Jan 1, 2020 | |
| Herren Hickingbotham | Corporate Director | Jan 1, 2013 | |
| Judy Simmons Henry | Corporate Director | Jan 1, 2024 | |
| Michael Akin | Corporate Director | Jan 1, 2024 | |
| Chris Brune | Corporate Director | Jan 1, 2025 | |
| Troy Wells | Corporate Officer | Sep 15, 2014 | |
| W-2 Managing Employee | Sep 15, 2014 | ||
| Suzanne Peyton | Corporate Director | Jan 1, 2021 | |
| John McMorran | Corporate Director | Jan 1, 2026 | |
| Lindsey Lorence | Corporate Director | Jan 1, 2025 | |
| Steven Booth | Corporate Director | Jan 1, 2019 | |
| David Mitchell | Corporate Director | Jan 1, 2025 | |
| James S Jones | Corporate Director | Jan 1, 2013 | |
| Louis M Lee | Corporate Director | Jan 1, 2026 | |
| Teresa Howell | Corporate Director | Jan 1, 2016 | |
| Brent Beaulieu | Corporate Officer | Jan 18, 2018 | |
| W-2 Managing Employee | Jan 18, 2018 | ||
| Glenn Millner | Corporate Director | Jan 1, 2013 | |
| Les Warren | Corporate Director | Jan 1, 2025 |
All facility ownership & control disclosures 50
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Health Medical Center - Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Arkadelphia | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center - Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Heber Springs | Hospital | Operational/Managerial Control | Jan 1, 1980 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Medical Center North Little Rock | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Rehabilitation Institute | Hospital | Operational/Managerial Control | Apr 1, 1967 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Feb 1, 1974 |
| Baptist Health Medical Center Little Rock | Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Baptist Health Extended Care Hospital - Little Rock, Inc. | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center-Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Fort Smith | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Van Buren | Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Medical Center - Hot Spring County | Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center - Conway | Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County | Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Medical Center - Stuttgart | Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Home Health - Heber Springs | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Home Health - Arkadelphia | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Home Health-Little Rock | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2016 |
| Baptist Health Home Health Network - Drew County | Home health agency | Operational/Managerial Control | Dec 3, 2023 |
| Baptist Health Hospice - Little Rock | Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1990 Jan 1, 1990 |
| Baptist Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Family Clinic - Greers Ferry | Rural health clinic | Operational/Managerial Control | Dec 15, 1992 |
| Baptist Health - Family Clinic Brinkley | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Clarendon | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Stuttgart Medical Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Dewitt | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Hazen | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Gurdon | Rural health clinic | Operational/Managerial Control | Apr 4, 2011 |
| Baptist Health Family Clinic - Heber Springs | Rural health clinic | Operational/Managerial Control | Sep 1, 2013 |
| Baptist Health Stuttgart Campus Clinic | Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Caddo Valley | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Bismarck | Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Prescott | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| Baptist Health Heber Springs Campus Clinic | Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| BH Arkadelphia Medical Clinic | Rural health clinic | Operational/Managerial Control (100%) | Sep 1, 2020 |
| Baptist Health Family Clinic - Sparkman | Rural health clinic | Operational/Managerial Control | Apr 1, 2021 |
| Baptist Health Family Clinic - Malvern | Rural health clinic | Operational/Managerial Control (100%) | May 1, 2022 |
| Baptist Health Family Clinic - Alma | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Ouachita Valley Family Clinic | Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2024 |
| Baptist Health Family Clinic - Lonoke | Rural health clinic | Operational/Managerial Control (100%) | May 1, 2025 |
| Baptist Health Family Clinic - Perryville | Rural health clinic | Operational/Managerial Control | Jul 1, 2025 |
| Baptist Health Family Clinic - Beebe | Rural health clinic | Operational/Managerial Control (100%) | Jul 8, 2025 |
| Baptist Health Family Clinic - Russellville | Rural health clinic | Operational/Managerial Control | Jul 15, 2025 |
Facilities with the same owner 50
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Baptist Health Family Clinic Greers Ferry
- Rural Health Clinic/Center
- Greers Ferry, AR
- NPI 1003821703
Baptist Health
-
dba Baptist Home Health Network
- Home Health Agency
- Heber Springs, AR
- NPI 1033213632
Baptist Health
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
Baptist Health
-
dba Baptist Home Health Network
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
Baptist Health
-
dba Baptist Hospice
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1164526554
Baptist Health
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
Baptist Health
-
dba Baptist Health Rehabilitation Institute
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Baptist Health
-
dba Baptist Medical Center-Psych
- Psychiatric Hospital Unit
- Little Rock, AR
- NPI 1255377420
Baptist Health
-
dba Baptist Health Ouachita Valley Family Clinic
- Rural Health Clinic/Center
- Camden, AR
- NPI 1366279424
Baptist Health
-
dba Baptist Health Family Clinic - Beebe
- Rural Health Clinic/Center
- Beebe, AR
- NPI 1376336883
Baptist Health
-
dba Baptist Health Family Clinic - Sparkman
- Rural Health Clinic/Center
- Sparkman, AR
- NPI 1427630110
Baptist Health
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1821196445
-
- Family Nurse Practitioner
- Russellville, AR
- NPI 1346928975
-
- Hematology & Oncology Physician
- Little Rock, AR
- NPI 1376958355
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1386872695
-
- Family Medicine Physician
- Perryville, AR
- NPI 1609882497
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1083009252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1114792157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 HERITAGE DR",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721505000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 HERITAGE DR",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721505000",
"telephone_number": "501-332-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-202-2080"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Family Clinic - Sheridan",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baptist Health Family Clinic - Sheridan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheridan, AR
- Arkansas Health Group (Paulk Family Clinic/A Baptist Health Affiliate)
- Arkansas Health Group (Baptist Health Family Clinic Sheridan)
- Assisted Care for Seniors
- David Bagley, MD
- Meredith Gayle Bailey, M.S., CCC-SLP
- Baptist Health (Baptist Health Family Clinic - Sheridan)
- Shagala Barnett
- Chrystal A Batemon, MHPP
- Nicole Danise Bates, APRN, FNP-BC
- Elizabeth Ann Baxley, SLP
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.