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REGIONAL FAMILY MEDICINE PA
NPI 1003814609
Family Medicine in Mountain Home, AR

Active since July 08, 2005CLIA Certified · 2 labs
630 BURNETT DR, MOUNTAIN HOME, AR 72653(870) 425-6971(870) 508-8900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Apr 19, 2019 (2 updates tracked since 2019).

About Regional Family Medicine Pa NPPES

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

REGIONAL FAMILY MEDICINE PA (NPI 1003814609) is a healthcare organization registered as a family medicine in Mountain Home, Arkansas and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists John Gregory Elders, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003814609
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREGIONAL FAMILY MEDICINE PA
Location Address630 BURNETT DRMountain Home, AR 72653-2941
Mailing Address630 Burnett DrMountain Home, AR 72653-2941 · (870) 425-6971 · Fax (870) 508-8900
Phone(870) 425-6971
Fax(870) 508-8900
Organization SubpartNo
Authorized OfficialJohn Gregory EldersCeo · (870) 425-6971
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003814609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
630 BURNETT DR, Mountain Home, AR 72653
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Other Identifiers 2

Medicaid121500001AR
Other5F307AR · Medicare Ptan

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)

Regional Family Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Regional Family Medicine PA, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice8
Nurse Practitioner3

Clinicians, nearest first (11)

Andrea Bounds, M.D.
Family Practice
NPI 1619296407
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOS✔ Accepts MedicareSame address
Hannah Caststeel, CNP
Nurse Practitioner
NPI 1225484512
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOSSame address
John Elders, MD
Family Practice
NPI 1174520688
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOS✔ Accepts MedicareSame address
Corinne Hiser, CNP
Nurse Practitioner
NPI 1063505147
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOSSame address
George Lawrence, M.D.
Family Practice
NPI 1245237528
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOS✔ Accepts MedicareSame address
Lonnie Robinson, MD
Family Practice
NPI 1962408435
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOS✔ Accepts MedicareSame address
Michelle Sharp, APRN/CNP
Nurse Practitioner
NPI 1548931132
630 BURNETT DR
Mountain Home, AR 72653
(870) 425-6971
✔ PECOS✔ Accepts MedicareSame address
Ronald Bruton, MD
Family Practice
NPI 1033114566
250 DRILLERS RD
Mountain Home, AR 72653
(870) 492-5995
✔ PECOS✔ Accepts Medicare3.3 mi
Alex Hagaman, DO
Family Practice
NPI 1437738879
250 DRILLERS RD
Mountain Home, AR 72653
(870) 492-5995
✔ PECOS✔ Accepts Medicare3.3 mi
Hannah Mccarthy, MD
Family Practice
NPI 1972124337
250 DRILLERS RD
Mountain Home, AR 72653
(870) 492-5995
✔ PECOS✔ Accepts Medicare3.3 mi
Sharon Pritchard, MD
Family Practice
NPI 1215999016
250 DRILLERS RD
Mountain Home, AR 72653
(870) 492-5995
✔ PECOS✔ Accepts Medicare3.3 mi

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 2

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 Compliance 04D0468513

Regional Family Medicine · Mountain Home, AR
Active · expires Jan 28, 2027
CLIA Number04D0468513
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorDr. John G. Elders
Laboratory Phone(870) 508-8947
Laboratory LocationRegional Family Medicine630 Burnett Drive, Mountain Home, AR 72653
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 04D2066401

Regional Family Medicine · Mountain Home, AR
Active · expires Sep 25, 2027
CLIA Number04D2066401
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorChristal L. Perdue
Laboratory Phone(870) 492-5995
Laboratory LocationRegional Family Medicine250 Drillers Road, Mountain Home, AR 72653
CLIA data matches this NPI record on: Name
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 Regional Family Medicine PA's NPI number?

The NPI number for Regional Family Medicine PA is 1003814609. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Regional Family Medicine PA located?

Regional Family Medicine PA is located at 630 Burnett Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-6971.

What is Regional Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Regional Family Medicine PA enrolled in Medicare?

Yes. Regional Family Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regional Family Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Regional Family Medicine PA. 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 (8) and Nurse Practitioner (3). Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Regional Family Medicine PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Regional Family Medicine PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.