Admmd LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

207Q00000X Issued in AR

Legal business name

ADMMD LLC

Practice address

4523 Woodlawn Dr
Little Rock, AR 72205

Phone

(501) 663-2363

Fax

(501) 663-2362

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Christina Carr

Title

Clinic Manager

Phone

(501) 663-2363

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Dee McKenzie, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1003831462
  Medicare reassignment NPD
• Robin Reynolds, RD, LD, CDCES, CLT

  • Registered Dietitian
  • N Little Rock, AR
  • NPI 1902028723
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1275069346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 WOODLAWN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-663-2363",
            "fax_number": "501-663-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 WOODLAWN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-663-2363",
            "fax_number": "501-663-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-663-2363"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "AR",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06080012300",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2674768",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "764178",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7203815",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhawana Adhikari, MD
• Adil Imran
• Adkins Enterprises
• Jaxon Cade Adkins
• Jarrod Rodney Adkisson, M.D.
• Sangeeta Adusumilli, MD
• Advance Chiropractic and Performance
• Advanced Allergy and Asthma Physicians PLLC (Advanced Allergy and Asthma)
• Advanced Eyecare Clinic, PLLC
• Advanced Health Operations (Little Rock Men's Clinic)

• Prevention Professional in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Prevention Professional in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.