Organization Active NPI

Carter Family Medicine Clinic, PLLC

  • Primary Care Clinic/Center
  • Little Rock, AR
National Provider Identifier
1609058643
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C7467 Issued in AR
Legal business name
CARTER FAMILY MEDICINE CLINIC, PLLC
Practice address
500 S University Ave
Suite 521
Little Rock, AR 72205-5302
Phone
(501) 663-9994
Fax
(501) 663-9997
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Authorized official

Name
Dr. Inge Renate Carter, MD
Title
Owner
Phone
(501) 663-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C7467 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 521
Little Rock, AR 72205-5302

Mailing address

500 S University Ave
Suite 521
Little Rock, AR 72205-5302
Phone (501) 663-9994

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1077456Carter Family Medicine Clinic500 S University Avenue, Suite 521, Little Rock, AR 72205Provider-performed microscopyDec 10, 2027

National Provider Directory

National Provider Directory

Locations

500 S University Ave
Ste 521
Little Rock, AR 72205
Phone (501) 663-9994

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1609058643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 521",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-663-9994",
            "fax_number": "501-663-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 521",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-663-9994",
            "fax_number": "501-663-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER FAMILY MEDICINE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "INGE",
        "authorized_official_middle_name": "RENATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-663-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "C7467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.