Active NPI
Hillcrest Family Practice Clinic Inc
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1669530606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HILLCREST FAMILY PRACTICE CLINIC INC
- Practice address
- 4601 Woodlawn Dr
Little Rock, AR 72205-3860 - Phone
- (501) 664-0769
- Fax
- (501) 664-9558
- NPI assigned
- Dec 4, 2006
- 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. Jay D Holland, M..
- Title
- President
- Phone
- (501) 664-0769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AR | Primary |
Addresses
Primary practice location
4601 Woodlawn Dr
Little Rock, AR 72205-3860
Mailing address
4601 Woodlawn Dr
Little Rock, AR 72205-3860
Phone (501) 664-0769
Other names 1
- Hillcrest Family Clinic
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 |
|---|---|---|---|
| 04D0467316 | Hillcrest Family Clinic | Certificate of waiver | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
4601 Woodlawn Dr
Little Rock, AR 72205
Phone (501) 664-0769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250812800000",
"number": "1669530606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 WOODLAWN DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053860",
"telephone_number": "501-664-0769",
"fax_number": "501-664-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 WOODLAWN DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053860",
"telephone_number": "501-664-0769",
"fax_number": "501-664-9558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLCREST FAMILY PRACTICE CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2009-08-21",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-664-0769",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillcrest Family Clinic",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 21, 2009; 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.