NPIMap

Organization Active NPI

Pope Family Medical Clinic, PLLC

  • Family Medicine Physician
  • Sheridan, AR
National Provider Identifier
1326312539
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POPE FAMILY MEDICAL CLINIC, PLLC
Practice address
651 Heritage Dr
Sheridan, AR 72150-5000
Phone
(870) 942-1301
Fax
(870) 942-1305
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Tammy Pope, M.D.NPI 1407810062
Title
President
Phone
(870) 942-1301

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AR Primary

Addresses

Primary practice location

651 Heritage Dr
Sheridan, AR 72150-5000

Mailing address

651 Heritage Dr
Sheridan, AR 72150-5000
Phone (870) 942-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000522 AR Part B Supplier - Clinic/Group Practice 5890958482 Receives reassigned benefits from 7 practitioners
Practice locations: Sheridan, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1326312539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HERITAGE DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721505000",
            "telephone_number": "870-942-1301",
            "fax_number": "870-942-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HERITAGE DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721505000",
            "telephone_number": "870-942-1301",
            "fax_number": "870-942-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE FAMILY MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-942-1301",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "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 Dec 9, 2019; 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.