Individual provider Active NPI

Sydnie McClinton, PA

  • Physician Assistant
  • West Memphis, AR
National Provider Identifier
1821721176
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1316 Issued in AR
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

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center Inc. CurrentSince Oct 29, 2024 Accepting new patients
East Arkansas Family Health Center, Inc Current Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Oct 29, 2024 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.

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

Verify at the official NPI Registry.