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
- Greers Ferry Rural Heal
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
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.