Active NPI
Carriage Hill Family Care, PLC
- Family Medicine Physician
- Paragould, AR
National Provider Identifier
1669130464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CARRIAGE HILL FAMILY CARE, PLC
- Practice address
- 3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329 - Phone
- (870) 573-2200
- Fax
- (870) 573-2300
- NPI assigned
- Nov 30, 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. Vincent G Lee, MD
- Title
- Owner
- Phone
- (870) 573-2200
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329
Mailing address
3501 Carriage Hill Dr Ste B
Paragould, AR 72450-5329
Phone (870) 573-2200
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 |
|---|---|---|---|
| 04D2250926 | Carriage Hill Family Care PLC | Provider-performed microscopy | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Paragould, AR
- NPI 1639498462
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1285295865
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1184903023
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1639481450
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1073576955
-
- Professional Counselor
- Jonesboro, AR
- NPI 1174645626
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1316389323
-
- Family Nurse Practitioner
- Paragould, AR
- NPI 1922622505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669420800000",
"number": "1669130464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 CARRIAGE HILL DR STE B",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505329",
"telephone_number": "870-573-2200",
"fax_number": "870-573-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 CARRIAGE HILL DR STE B",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505329",
"telephone_number": "870-573-2200",
"fax_number": "870-573-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARRIAGE HILL FAMILY CARE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-30",
"last_updated": "2022-11-26",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-573-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; 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.