NPIMap

Individual provider Active NPI

Hailey C Farris, M.D.

  • Family Medicine Physician
  • Dardanelle, AR
National Provider Identifier
1447514310
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9214 Issued in AR
Practice address
200 N 3Rd St
Dardanelle, AR 72834-3802
Phone
(479) 229-6191
Fax
(479) 229-6194
NPI assigned
Jun 26, 2012
Last updated
Jan 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E9214 AR Primary

Addresses

Primary practice location

200 N 3Rd St
Dardanelle, AR 72834-3802

Mailing address

200 N 3Rd St
Dardanelle, AR 72834-3802
Phone (479) 229-6191

Other identifiers 1

IdentifierTypeStateIssuer
209831001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818004623 AR Practitioner - Family Practice 9537474762 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dardanelle Regional LLCGroup PAC ID 0345576500, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

200 N 3Rd St
Suite 3
Dardanelle, AR 72834-3802
Phone (479) 229-4677

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9214ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Dardanelle Regional, LLC Current Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Flagg Emergency Group, PLLC CurrentSince Jun 10, 2019 Accepting new patients
Dardanelle Regional, LLC PastSince Apr 30, 2023 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

200 N 3rd St
Ste 3
Dardanelle, AR 72834
Phone (479) 229-4677

Interoperability endpoints

  • Direct secure messaging: rvmhsmall@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1447514310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "HAILEY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E9214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209831001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

Verify at the official NPI Registry.