Organization Active NPI

Nayles Medical Clinic, LLC

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1265591267
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6342 Issued in AR
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

Updated by the provider on Nov 7, 2016

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
103668001MedicaidAR
5F409OtherARGROUP P TAN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.