NPIMap

Organization Active NPI

Pediatric Associates of West Memphis, PLC

  • Clinic/Center
  • West Memphis, AR
National Provider Identifier
1407966005
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC
Practice address
108 W Tyler
West Memphis, AR 72301-4221
Phone
(870) 732-1191
Fax
(870) 732-4091
NPI assigned
Aug 30, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Judy Catt
Title
Practice Manager
Phone
(870) 732-1191

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinic/Center 261Q00000X AR Primary

Addresses

Primary practice location

108 W Tyler
West Memphis, AR 72301-4221

Mailing address

108 W Tyler
West Memphis, AR 72301-4221
Phone (870) 732-1191

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0467679Pediatric Associates of West Memphis108 West Tyler, West Memphis, AR 72301ComplianceJul 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Asscs of W MPHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 Block St
Marion, AR 72364
Phone (870) 739-1190

108 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-1191

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1407966005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W TYLER",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014221",
            "telephone_number": "870-732-1191",
            "fax_number": "870-732-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W TYLER",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014221",
            "telephone_number": "870-732-1191",
            "fax_number": "870-732-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "CATT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "870-732-1191"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.

Verify at the official NPI Registry.