Active NPI
Nayles Medical Clinic, LLC
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1265591267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C6342
- Legal business name
- NAYLES MEDICAL CLINIC, LLC
- Practice address
- 1400 Main St
Little Rock, AR 72202-5036 - Phone
- (501) 371-0055
- Fax
- (501) 371-0088
- NPI assigned
- Dec 6, 2006
- 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
- Mrs. Lana Nayles
- Title
- Office Administrator
- Phone
- (501) 371-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C6342 | AR | Primary |
Addresses
Primary practice location
1400 Main St
Little Rock, AR 72202-5036
Mailing address
1400 Main St
Little Rock, AR 72202-5036
Phone (501) 371-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103668001 | Medicaid | AR | |
| 5F409 | Other | AR | GROUP P TAN |
National Provider Directory
National Provider DirectoryLocations
1122 W Capitol Ave
Little Rock, AR 72201
Phone (501) 371-0055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1265591267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MAIN ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722025036",
"telephone_number": "501-371-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MAIN ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722025036",
"telephone_number": "501-371-0055",
"fax_number": "501-371-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAYLES MEDICAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "NAYLES",
"authorized_official_first_name": "LANA",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "501-371-0055",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "C6342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103668001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP P TAN",
"identifier": "5F409",
"state": "AR"
}
],
"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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.