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DARDANELLE REGIONAL, LLC
NPI 1003753757
Orthopaedic Surgery in Dardanelle, AR

Active since April 30, 2026CLIA 04D2198146 · Waiver
200 N 3RD ST STE 3, DARDANELLE, AR 72834(479) 229-4677 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dardanelle Regional, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARDANELLE REGIONAL, LLC (NPI 1003753757) is a healthcare organization registered as an orthopaedic surgery in Dardanelle, Arkansas and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Brandy Talley, Controller, as its authorized official.

NPPES Registry Identity

NPI1003753757
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDARDANELLE REGIONAL, LLC
Location Address200 N 3RD ST STE 3Dardanelle, AR 72834-3802
Mailing Address200 N 3rd St Ste 3Dardanelle, AR 72834-3802 · (479) 229-4677
Phone(479) 229-4677
Organization SubpartYes
Authorized OfficialBrandy TalleyController · (479) 229-6191
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1003753757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedSurgeryTaxonomy 208600000X
200 N 3RD ST STE 3, Dardanelle, AR 72834
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dardanelle Regional, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Dardanelle Regional, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice6
Nurse Practitioner6
Anesthesiology2
Certified Registered Nurse Anesthetist (CRNA)1
General Surgery1
Internal Medicine1
Interventional Cardiology1
Orthopedic Surgery1
2 other specialties2

Nearest to this location (20)

See all 21
Stephannie Cawiezell
Nurse Practitioner
NPI 1487020855
200 N 3RD ST STE 1
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts MedicareSame address
Stephen Luker, DO
Family Practice
NPI 1730287004
200 N 3RD ST STE 1
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts MedicareSame address
Kathryn Parker, M.D.
Internal Medicine
NPI 1285087429
200 N 3RD ST STE 1
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts MedicareSame address
Hunter Ramey, MD, MPH
Pediatric Medicine
NPI 1710566955
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOSSame address
Katerina Devore
Nurse Practitioner
NPI 1275040511
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts MedicareSame address
Hailey Farris, M.D.
Family Practice
NPI 1447514310
200 N 3RD ST
Dardanelle, AR 72834
(479) 229-6191
✔ PECOS✔ Accepts MedicareSame address
Sarah Robertson, MD
Family Practice
NPI 1649238262
101 SKYLINE DR
Russellville, AR 72801
(479) 968-2345
✔ PECOS✔ Accepts Medicare4.7 mi
Benjamin Bower, MD
Family Practice
NPI 1619665510
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare4.7 mi
Natalie Hill, ANP
Nurse Practitioner
NPI 1912399452
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare4.7 mi
Crystal Kibler, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1629679279
108 SKYLINE DR
Russellville, AR 72801
(479) 968-7170
✔ PECOS✔ Accepts Medicare4.7 mi
Jonathan Ghormley, M.D.
Orthopedic Surgery
NPI 1982696464
550 CLUB LANE SUITE 1
Conway, AR 72034
(501) 329-1510
✔ PECOS✔ Accepts Medicare40 mi
Keith Cooper, MD
Family Practice
NPI 1295732816
437 DENISON ST
Conway, AR 72034
(501) 327-1325
✔ PECOS✔ Accepts Medicare40 mi
Phillip Ballinger, M.D.
Otolaryngology
NPI 1174571749
525 WESTERN AVE STE 302A
Conway, AR 72034
(501) 205-8095
✔ PECOS✔ Accepts Medicare41 mi
Rimsha Hasan, M.D.
Interventional Cardiology
NPI 1225418445
525 WESTERN AVE STE 202
Conway, AR 72034
(501) 358-6905
✔ PECOS✔ Accepts Medicare41 mi
Brock King, M.D.
General Surgery
NPI 1154323921
525 WESTERN AVE SUITE 203
Conway, AR 72034
(501) 327-4828
✔ PECOS✔ Accepts Medicare41 mi
Heather Steely, APRN
Nurse Practitioner
NPI 1982902383
2200 ADA AVE STE 301
Conway, AR 72034
(501) 358-6560
✔ PECOS✔ Accepts Medicare41 mi
Ross Lenzen
Family Practice
NPI 1497376453
110 N BROADVIEW ST
Greenbrier, AR 72058
(501) 679-3551
✔ PECOS✔ Accepts Medicare44 mi
Felicia Johnson, APRN
Nurse Practitioner
NPI 1134685217
7 SHACKLEFORD WEST BLVD
Little Rock, AR 72211
(501) 664-5860
✔ PECOS✔ Accepts Medicare54 mi
Rodney Mccarver, MD
Anesthesiology
NPI 1831183193
9601 INTERSTATE 630 EXIT 7
Little Rock, AR 72205
(501) 202-2093
✔ PECOS✔ Accepts Medicare56 mi
Mikio Ranahan
Anesthesiology
NPI 1437544053
101 MANNING DR
Chapel Hill, NC 27514
(974) 984-1000
✔ PECOS✔ Accepts Medicare795 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2198146

Dardanelle Regional Medical Clinic · Dardanelle, AR
Active · expires Oct 29, 2026
CLIA Number04D2198146
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorDr. Hailey Small
Laboratory Phone(479) 229-6191
Laboratory LocationDardanelle Regional Medical Clinic200 North 3rd Street Suite 1, Dardanelle, AR 72834
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dardanelle Regional, LLC's NPI number?

The NPI number for Dardanelle Regional, LLC is 1003753757. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is Dardanelle Regional, LLC located?

Dardanelle Regional, LLC is located at 200 N 3rd St Ste 3, Dardanelle, AR 72834. The listed phone number is (479) 229-4677.

What is Dardanelle Regional, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dardanelle Regional, LLC enrolled in Medicare?

Yes. Dardanelle Regional, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dardanelle Regional, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 10 Medicare specialties reassign their Medicare billing to Dardanelle Regional, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (6) and Anesthesiology (2). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dardanelle Regional, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2198146) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dardanelle Regional, LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.