Pillow Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PILLOW CLINIC, PLLC

Practice address

101 Shirley Hicks Dr
Helena, AR 72342-8852

Phone

(870) 338-5996

NPI assigned

Aug 2, 2006

Last updated

Sep 21, 2023By 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

James H Pillow, MDNPI 1588698906

Title

Physician

Phone

(870) 338-5996

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497762538. Details of each certification follow.

• CCN 043861 Rural health clinic · Active · Details

Rural health clinic certification: CCN 043861

Legal name

PILLOW CLINIC, PLLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 30, 2004

Last certification

Apr 27, 2018

Ownership / control type

1C

Organization structure

LLCProprietary

Incorporated

in AR

Enrollment address

101 Shirley Hicks Dr
Helena, AR 72342-8852

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pillow Clinic, PLLC

  • Pediatrics Physician
  • Helena, AR
  • NPI 1114131802

  7517958630

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pillow Clinic, PLLC

  • Pediatrics Physician
  • Helena, AR
  • NPI 1114131802

  O20090728000160

  Same enrollment

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Edward L Pillow, MD

  • Internal Medicine Physician
  • Helena, AR
  • NPI 1659387181

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• James Hargraves Pillow, M.D.

  • Family Medicine Physician
  • Helena, AR
  • NPI 1588698906

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Jill S Pillow, MD

  • Pediatrics Physician
  • Helena, AR
  • NPI 1528175130

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• James Hargraves Pillow, M.D.

  • Family Medicine Physician
  • Helena, AR
  • NPI 1588698906
  Authorized official Same address or phone

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1497762538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHIRLEY HICKS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428852",
            "telephone_number": "870-338-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SHIRLEY HICKS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428852",
            "telephone_number": "870-338-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLOW CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "PILLOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-338-5996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154574729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillips Hospital Company LLC (Helena Regional Medical Center)
• Phillips Hospital Company LLC
• Phillips Hospital Company LLC (Helena Hospital)
• Phillips Physician Services LLC
• Pillow Clinic, PLLC
• Edward L Pillow, MD
• James Hargraves Pillow, M.D.
• Jill S Pillow, MD
• Pam Pippenger, MS,CCC/SLP
• Nakita Terell Radford, CASE MANAGER

• Specialist in Helena, AR
• Providers in Helena, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.