Active NPI
Throneberry Family Clinic, P.a.
- Clinic/Center
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MC1741
- Legal business name
- THRONEBERRY FAMILY CLINIC, P.A.
- Practice address
- 2869 College Ave
Conway, AR 72034-6087 - Phone
- (501) 327-2611
- Fax
- (501) 336-9763
- NPI assigned
- Feb 28, 2007
- Last updated
- May 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Barton Throneberry, MD
- Title
- Owner
- Phone
- (501) 327-2611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MC1741 | AR | Primary |
Addresses
Primary practice location
2869 College Ave
Conway, AR 72034-6087
Mailing address
2869 College Ave
Conway, AR 72034-6087
Phone (501) 327-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0466303 | Throneberry Family Clinic, P a | Provider-performed microscopy | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Medicine Physician
- Conway, AR
- NPI 1316949308
-
- Physician Assistant
- Little Rock, AR
- NPI 1811401318
-
- Family Medicine Physician
- Conway, AR
- NPI 1033346358
-
- Medical Physician Assistant
- Marshall, AR
- NPI 1316583461
-
- Medical Physician Assistant
- Conway, AR
- NPI 1558547919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1538296256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2869 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346087",
"telephone_number": "501-327-2611",
"fax_number": "501-336-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2869 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346087",
"telephone_number": "501-327-2611",
"fax_number": "501-336-9763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRONEBERRY FAMILY CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "THRONEBERRY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "BARTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-327-2611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AR",
"license": "MC1741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.