Huntsville Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HUNTSVILLE MEDICAL CLINIC, LLC

Practice address

705 Phillips PL
PO Box 860
Huntsville, AR 72740

Phone

(479) 738-1700

Fax

(479) 738-5510

NPI assigned

Oct 7, 2025

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Dickey, APRNNPI 1295056687

Title

Manager

Phone

(479) 738-1700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 4

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.

• Gina Ann Dickey, APN

  • Primary Care Nurse Practitioner
  • Huntsville, AR
  • NPI 1295056687
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas Louie Embry, MD

  • Family Medicine Physician
  • Huntsville, AR
  • NPI 1427105667
  Medicare reassignment Care Compare group NPD (past)
• David Allen Storm, APRN

  • Family Nurse Practitioner
  • Huntsville, AR
  • NPI 1841767118
  Medicare reassignment Care Compare group
• John Henry Kendrick, MD

  • Surgery Physician
  • Springdale, AR
  • NPI 1902812019
  Medicare reassignment

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1457226706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727400860",
            "telephone_number": "479-738-1700",
            "fax_number": "479-738-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PHILLIPS PL",
            "address_2": "PO BOX 860",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "72740",
            "telephone_number": "479-738-1700",
            "fax_number": "479-738-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-738-1700",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan R Hargis, SLP
• Harps Food Stores, Inc (Harps Pharmacy #133)
• Brianna Michelle Harris, LPC
• Amy R Hasty
• Michelle Pauline Huhn
• Huntsville School District
• Jason Cole Jackson, PMHNP
• Brittni Jeffers
• Marquita Kendrick, RN
• Christal A Kennedy

• Family Medicine Physician in Huntsville, AR
• Providers in Huntsville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.