Arkansas Children'S Medical Group PLLC

Key facts

NPI: 1740912799
Entity type: Organization (NPI type 2)
Primary specialty: Developmental - Behavioral Pediatrics Physician 2080P0006X
Legal business name: ARKANSAS CHILDREN'S MEDICAL GROUP PLLC
Practice address: 900 S 52ND St Ste 200
Rogers, AR 72758-8640
Phone: (479) 254-1100
Fax: (479) 254-2997
NPI assigned: Jun 28, 2022
Organization subpart: Yes
Parent organization (as reported): ARKANSAS CHILDREN'S MEDICAL GROUP PLLC

Authorized official

Name: Robert S. Williams, MD
Title: President
Phone: (501) 364-2090

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Arkansas Children'S Medical Group PLLC Pediatrics Physician · Little Rock, AR · NPI 1396274841

NPPES parent name

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Arkansas Children'S Medical Group PLLC Pediatrics Physician · Little Rock, AR · NPI 1396274841

NPD tax ID
Arkansas Children'S Medical Group, PLLC Pediatric Dentistry · Little Rock, AR · NPI 1376237701

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

David M Blaske, PHD Psychologist · Jonesboro, AR · NPI 1790733947

NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
04D2261955	Arkansas Children'S Northwest-Clinic 900 S 52ND Street, Suite 200, Rogers, AR 72758	Certificate of waiver	Jun 6, 2028

National Provider Directory

Tax ID family: Arkansas Childrens Medical (3 organizations share this tax ID)
Part of: Arkansas Childrens Medical

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Developmental - Behavioral Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	2080P0006X			Yes

Addresses

Primary practice location

900 S 52ND St Ste 200
Rogers, AR 72758-8640

Mailing address

1 Childrens Way # 844
Little Rock, AR 72202-3500
Phone (501) 364-2090

Other practice location 1

1 Childrens Way # 844
Little Rock, AR 72202-3500
Phone (501) 364-2090

Other names

Arkansas Children's Northwest-Clinic Doing business as
NW Harvey Primary Care Clinic Other name

Other providers in Rogers, AR

All providers in Rogers, AR · Developmental - Behavioral Pediatrics Physician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (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.