Organization Active NPI

Compassionate Care Clinic, PLLC

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1235781733
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASSIONATE CARE CLINIC, PLLC
Practice address
904 E Race Ave
Searcy, AR 72143-4653
Phone
(501) 279-1512
Fax
(501) 325-1912
NPI assigned
Jul 15, 2019
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Holly Bunn, APNNPI 1740731660
Title
Aprn
Phone
(501) 279-1512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

904 E Race Ave
Searcy, AR 72143-4653

Mailing address

904 E Race Ave
Searcy, AR 72143-4653
Phone (501) 279-1512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827001426 AR Part B Supplier - Clinic/Group Practice 3375871593 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, AR; Searcy, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2164479Compassionate Care Clinic, LLC904 East Race Avenue, Searcy, AR 72143Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1235781733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434653",
            "telephone_number": "501-279-1512",
            "fax_number": "501-325-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434653",
            "telephone_number": "501-279-1512",
            "fax_number": "501-325-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "501-279-1512",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.