NPIMap

Organization Active NPI

Arkansas Central Primary Care PLLC

Doing business as Cabot Medical Care

  • Family Medicine Physician
  • Cabot, AR
National Provider Identifier
1881848257
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARKANSAS CENTRAL PRIMARY CARE PLLC
Doing business as
Cabot Medical Care
Practice address
2037 W Main St
Cabot, AR 72023-7479
Phone
(501) 843-4555
Fax
(501) 743-1550
NPI assigned
Nov 11, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Judi Harvey
Title
Clinic Manager
Phone
(501) 843-4555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

2037 W Main St
Cabot, AR 72023-7479

Mailing address

2037 W Main St
P.O. Box 1325
Cabot, AR 72023-7479
Phone (501) 843-4555

Other names 1

  • Cabot Medical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000093 AR Part B Supplier - Clinic/Group Practice 8729142682 Receives reassigned benefits from 19 practitioners
Practice locations: Cabot, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0466187Cabot Medical Care2037 West Main, Cabot, AR 72023ComplianceJan 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1881848257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "address_2": "P.O. BOX 1325",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-743-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-843-4555",
            "fax_number": "501-743-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CENTRAL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-843-4555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.

Verify at the official NPI Registry.