NPIMap

Organization Active NPI

Medical Associates of Northwest Arkansas PA

  • Family Medicine Physician
  • Lowell, AR
National Provider Identifier
1912883273
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Practice address
503 Hospitality LN
Lowell, AR 72745-8359
Phone
(479) 657-6600
Fax
(479) 657-6632
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Terry Hurt
Title
Cfo
Phone
(479) 571-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

503 Hospitality LN
Lowell, AR 72745-8359

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (794) 571-6038

Other names 1

  • MANA Family Medicine Lowell Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000671 AR Part B Supplier - Clinic/Group Practice 3678542073 Receives reassigned benefits from 130 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bentonville, AR; Springdale, AR; Rogers, AR; Prairie Grove, AR; Lowell, AR; Harrison, AR; Fayetteville, AR; Bella Vista, AR

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

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
04D2052565Mana Family Medicine Lowell503 Hospitality Lane, Lowell, AR 72745Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc of NW Ark21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

701 SW Regional Airport Blvd
Bentonville, AR 72713
Phone (479) 268-7640

2523 E Huntsville Rd
Fayetteville, AR 72701
Phone (479) 442-2822

3264 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 435-2400

3380 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 442-7322

3561 Johnson Mill Blvd
Ste 101
Fayetteville, AR 72704
Phone (479) 404-4500

932 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-1253

775 E Douglas St
Prairie Grove, AR 72753
Phone (479) 267-5600

451 S Holly St
#207
Siloam Springs, AR 72761

451 S Holly St
Ste 207
Siloam Springs, AR 72761

100 S Shiloh St
Springdale, AR 72764
Phone (479) 750-3630

1109 S West End St
Springdale, AR 72764
Phone (479) 750-3630

4700 S Thompson St
Ste C103
Springdale, AR 72764
Phone (479) 571-6363

161 N Maestri Rd
Tontitown, AR 72762
Phone (479) 361-1020

Practitioners & affiliated clinicians

Practitioners 117

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 117

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1912883273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "794-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HOSPITALITY LN",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458359",
            "telephone_number": "479-657-6600",
            "fax_number": "479-657-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-571-6780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANA Family Medicine Lowell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.