NPIMap

Individual provider Active NPI

Lindsey N Walley, M.D.

  • Family Medicine Physician
  • Fordyce, AR
National Provider Identifier
1851470140
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E5091 Issued in AR
Practice address
110 N Clifton St
Fordyce, AR 71742-3025
Phone
(870) 352-3525
Fax
(870) 352-3533
NPI assigned
Nov 6, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E5091 AR Primary

Addresses

Primary practice location

110 N Clifton St
Fordyce, AR 71742-3025

Mailing address

110 N Clifton St
Fordyce, AR 71742-3025
Phone (870) 352-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000220 AR Practitioner - Family Practice 0143304436 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Fordyce LLCGroup PAC ID 1254611601, 4 clinicians
Board of Governors of Dallas County Medical CenterGroup PAC ID 7416869300, shared by 5 NPIs, 7 clinicians

Practice addresses (Care Compare)

201 N Clifton St
Fordyce, AR 71742-3026
Phone (870) 352-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5091ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Governors of Dallas County Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Board of Governors of Dallas County Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Oct 11, 2016 Accepting new patients
Board of Governors of Dallas County Medical Center CurrentSince Mar 1, 2018 Accepting new patients
Board of Governors of Dallas County Medical Center Family Medicine Past Accepting new patients

Locations

110 N Clifton St
Fordyce, AR 71742
Phone (870) 352-3525

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

207 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6311

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. John's PlaceFordyce, AR, CCN 045396 Skilled nursing facility 5% Or Greater Direct Ownership Interest
5% Or Greater Indirect Ownership Interest		 Apr 1, 2016
Apr 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1851470140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEY",
        "first_name": "LINDSEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordyce, AR

Sources for this page

Verify at the official NPI Registry.