NPIMap

Organization Active NPI

Arkansas Family Care Network

  • Family Medicine Physician
  • North Little Rock, AR
National Provider Identifier
1497718134
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARKANSAS FAMILY CARE NETWORK
Practice address
5125 Northshore Dr
North Little Rock, AR 72118-5315
Phone
(501) 224-1690
Fax
(501) 224-1927
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Jeff Erwin
Title
Administrator
Phone
(501) 224-1690

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

5125 Northshore Dr
North Little Rock, AR 72118-5315

Mailing address

PO Box 15056
Little Rock, AR 72231-5056
Phone (501) 224-1690

Other identifiers 1

IdentifierTypeStateIssuer
104997002MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000962 AR Part B Supplier - Clinic/Group Practice 0648256800 Receives reassigned benefits from 34 practitioners
Practice locations: Little Rock, AR; Hensley, AR; Bryant, AR

National Provider Directory

National Provider Directory

Locations

920 Harrison St
#B
Batesville, AR 72501
Phone (870) 698-9300

21019 Highway 167
Hensley, AR 72065
Phone (501) 261-7630

21019 Highway 167
#200
Hensley, AR 72065
Phone (501) 261-0517

3016 E Woodson Lateral Rd
Hensley, AR 72065
Phone (501) 261-7630

5909 R St
Little Rock, AR 72207
Phone (501) 664-9350

701 N University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 661-0336

500 S University Ave
Ste 514
Little Rock, AR 72205
Phone (501) 320-4820

701 N University Ave
Ste 201
Little Rock, AR 72205
Phone (501) 552-4763

701 N University Ave
Ste 100
Little Rock, AR 72205
Phone (501) 664-4810

11900 Kanis Rd
Ste D4
Little Rock, AR 72211
Phone (501) 221-6009

11415 Executive Center Dr
Little Rock, AR 72211
Phone (501) 221-6868

11215 Hermitage Rd
Ste 105
Little Rock, AR 72211
Phone (501) 219-1929

4200 N Rodney Parham Rd
Ste 202
Little Rock, AR 72212
Phone (501) 227-4323

4208 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-0779

220 N Sidney Ave
Russellville, AR 72801
Phone (479) 498-0858

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1497718134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15056",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315056",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185315",
            "telephone_number": "501-224-1690",
            "fax_number": "501-224-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS FAMILY CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-224-1690"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104997002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.