NPIMap

Organization Active NPI

Karas Family Walk in Clinic

  • Primary Care Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1134542434
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KARAS FAMILY WALK IN CLINIC
Practice address
767 W North St
Fayetteville, AR 72701-1865
Phone
(479) 966-5088
NPI assigned
Jan 23, 2014
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Ashley A Southern, RMA
Title
Office Manager
Phone
(479) 966-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

767 W North St
Fayetteville, AR 72701-1865

Mailing address

767 W North St
Fayetteville, AR 72701-1865
Phone (479) 966-5088

Other practice location 1

112 south lincoln st
lowell, AR 72745
Phone (479) 770-4343

Other names 1

  • Karas Urgent Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140702000127 AR Part B Supplier - Clinic/Group Practice 4688899883 Receives reassigned benefits from 28 practitioners
Practice locations: Fayetteville, AR; Lowell, AR

National Provider Directory

National Provider Directory

Locations

1041 N Garland Ave
Fayetteville, AR 72701
Phone (479) 966-5088

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

767 W North St
Fayetteville, AR 72701
Phone (479) 521-3600

310 N Progress Ave
Ste B
Siloam Springs, AR 72761
Phone (479) 966-5088

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1134542434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 W NORTH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011865",
            "telephone_number": "479-966-5088",
            "fax_number": "186-676-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 W NORTH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011865",
            "telephone_number": "479-966-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 south lincoln st",
            "address_purpose": "LOCATION",
            "city": "lowell",
            "state": "AR",
            "postal_code": "72745",
            "country_code": "US",
            "telephone_number": "479-770-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARAS FAMILY WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "SOUTHERN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-966-5088",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karas Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.