Active NPI
North Central Arkansas Medical Associates
- Family Medicine Physician
- Mountain Home, AR
National Provider Identifier
1952345183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES
- Practice address
- 614 North Town
Mountain Home, AR 72653-3105 - Phone
- (870) 425-3131
- Fax
- (870) 425-3136
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenderia Perry
- Title
- Project Manager
- Phone
- (501) 213-7313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
614 North Town
Mountain Home, AR 72653-3105
Mailing address
614 North Town
Mountain Home, AR 72653-3105
Phone (870) 425-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125193002 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0676243 | North Central Arkansas Medical Assocs | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
614 N Town
Mountain Home, AR 72653
Phone (870) 425-3131
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.532
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Internal Medicine Physician
- Mountain Home, AR
- NPI 1033855499
-
- Nurse Practitioner
- Mountain Home, AR
- NPI 1891388666
-
- Nurse Practitioner
- Mountain Home, AR
- NPI 1558710608
-
- Family Medicine Physician
- Harrison, AR
- NPI 1639177413
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1679547608
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1154838704
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1316107121
-
- Family Nurse Practitioner
- Mountain Home, AR
- NPI 1881000321
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1144294992
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1356311617
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1336203348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1952345183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 NORTH TOWN",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533105",
"telephone_number": "870-425-3131",
"fax_number": "870-424-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 NORTH TOWN",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533105",
"telephone_number": "870-425-3131",
"fax_number": "870-425-3136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "KENDERIA",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "501-213-7313"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125193002",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.