Active NPI
Coker Medical, PLLC
- Family Medicine Physician
- Fayetteville, AR
National Provider Identifier
1275457509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COKER MEDICAL, PLLC
- Practice address
- 1267 N Steamboat Dr Ste 3
Fayetteville, AR 72704-7148 - Phone
- (479) 263-0611
- NPI assigned
- Aug 7, 2026
- Last updated
- Aug 9, 2026
- 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
- Larry Donny Coker, MD
- Title
- Sole Owner
- Phone
- (479) 263-0611
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1267 N Steamboat Dr Ste 3
Fayetteville, AR 72704-7148
Mailing address
1267 N Steamboat Dr Ste 3
Fayetteville, AR 72704-7148
Phone (479) 263-0611
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1043456023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786233600000",
"number": "1275457509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 N STEAMBOAT DR STE 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047148",
"telephone_number": "479-263-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 N STEAMBOAT DR STE 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047148",
"telephone_number": "479-263-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COKER MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-09",
"certification_date": "2026-08-09",
"status": "A",
"authorized_official_last_name": "COKER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DONNY",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "479-263-0611",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.