NPIMap

Organization Active NPI

St Vincent Physician Clinics LLC

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1134558398
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST VINCENT PHYSICIAN CLINICS LLC
Practice address
16221 Saint Vincent Way
Little Rock, AR 72223-9072
Phone
(501) 552-8150
Fax
(501) 552-8199
NPI assigned
Nov 7, 2013
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Jaime Dennis
Title
Director-Revenue Cycle
Phone
(501) 224-1690

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

16221 Saint Vincent Way
Little Rock, AR 72223-9072

Mailing address

5125 Northshore Dr
North Little Rock, AR 72118-5315
Phone (501) 224-1690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140313001812 AR Part B Supplier - Clinic/Group Practice 5395975379 Receives reassigned benefits from 17 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

16221 Saint Vincent Way
Ste 100
Little Rock, AR 72223
Phone (501) 552-8150

Practitioners & affiliated clinicians

Practitioners 220

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 220

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1134558398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185315",
            "telephone_number": "501-224-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 SAINT VINCENT WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239072",
            "telephone_number": "501-552-8150",
            "fax_number": "501-552-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT PHYSICIAN CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR-REVENUE CYCLE",
        "authorized_official_telephone_number": "501-224-1690"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.