Active NPI
Dr. Kumar'S Medical Clinic PA
- Specialist
- Forrest City, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R4521
- Legal business name
- DR. KUMAR'S MEDICAL CLINIC PA
- Practice address
- 1801 Lindauer Rd
Forrest City, AR 72335-2407 - Phone
- (870) 633-5016
- Fax
- (870) 633-6309
- NPI assigned
- Jul 8, 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
- Ms. Alison Shepherd, APRN
- Title
- President
- Phone
- (870) 633-5016
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 |
|---|---|---|---|---|
| Specialist | 174400000X | R4521 | AR | Primary |
Addresses
Primary practice location
1801 Lindauer Rd
Forrest City, AR 72335-2407
Mailing address
1801 Lindauer Rd
Forrest City, AR 72335-2407
Phone (870) 633-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126650002 | Medicaid | AR |
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 |
|---|---|---|---|
| 04D0897668 | Dr Kumar'S Medical Clinic, PA | Provider-performed microscopy | Jan 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
1600 Lindauer Rd
Forrest City, AR 72335
Phone (870) 633-3551
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Jonesboro, AR
- NPI 1669447702
-
- Internal Medicine Physician
- Forrest City, AR
- NPI 1275509069
-
- Family Nurse Practitioner
- Forrest City, AR
- NPI 1619460813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1790718369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LINDAUER RD",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723352407",
"telephone_number": "870-633-5016",
"fax_number": "870-633-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 LINDAUER RD",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723352407",
"telephone_number": "870-633-5016",
"fax_number": "870-633-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. KUMAR'S MEDICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "SHEPHERD",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-633-5016",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AR",
"license": "R4521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126650002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.