Active NPI
Sheridan Family Clinic
- Primary Care Clinic/Center
- Sheridan, AR
National Provider Identifier
1275134603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SHERIDAN FAMILY CLINIC
- Practice address
- 109 W Pine St Ste a
Sheridan, AR 72150-2443 - Phone
- (870) 917-5572
- NPI assigned
- Nov 3, 2020
- 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
- Melissa Gail Drake-Rowe, APRN
- Title
- Owner
- Phone
- (870) 600-1213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
109 W Pine St Ste a
Sheridan, AR 72150-2443
Mailing address
109 W Pine St Ste a
Sheridan, AR 72150-2443
Phone (870) 600-1213
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2202764 | Sheridan Family Clinic | Certificate of waiver | Nov 30, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1275134603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W PINE ST STE A",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721502443",
"telephone_number": "870-600-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W PINE ST STE A",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721502443",
"telephone_number": "870-917-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "DRAKE-ROWE",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-600-1213",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.