Active NPI
Sydnie McClinton, PA
- Physician Assistant
- West Memphis, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1316
- Practice address
- 900 N 7TH St
West Memphis, AR 72301-2001 - Phone
- (870) 292-3950
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TN | ||
| Physician Assistant | 363A00000X | PA1316 | AR | Primary |
Addresses
Primary practice location
900 N 7TH St
West Memphis, AR 72301-2001
Mailing address
900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 292-3950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241029003167 | AR | Practitioner - Physician Assistant | 1355874322 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Arkansas Family Health Center, Inc
Practice addresses (Care Compare)
301 W Polk Ave
West Memphis, AR 72301-4262
Phone (870) 293-0594
513 Porter St
Helena, AR 72342-3217
Phone (870) 817-0122
900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Arkansas Family Health Center Inc. | Current | Accepting new patients | |
| East Arkansas Family Health Center, Inc | Current | Accepting new patients | |
| East Arkansas Family Health Center, Inc | Current | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Past | Accepting new patients | |
| East Arkansas Family Health Center Inc. | Past | Accepting new patients |
Locations
605 N 2nd St
Blytheville, AR 72315
Phone (870) 532-6001
216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676
801 Deadrick Rd
Forrest City, AR 72335
Phone (870) 633-2141
513 Porter St
Helena, AR 72342
Phone (870) 817-0122
1 Patriot Dr
Marion, AR 72364
Phone (870) 739-5137
417 W Main St
Trumann, AR 72472
Phone (870) 483-1025
900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842
301 W Polk Ave
West Memphis, AR 72301
Phone (870) 735-0833
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Helena, AR
- NPI 1518218668
-
- Federally Qualified Health Center (FQHC)
- West Memphis, AR
- NPI 1033997275
-
- Federally Qualified Health Center (FQHC)
- Marvell, AR
- NPI 1508379249
-
- Federally Qualified Health Center (FQHC)
- Blytheville, AR
- NPI 1659506095
-
- Federally Qualified Health Center (FQHC)
- West Memphis, AR
- NPI 1871599613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1821721176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N 7TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012001",
"telephone_number": "870-292-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N 7TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012001",
"telephone_number": "870-292-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTON",
"first_name": "SYDNIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA1316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.