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: July 26, 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
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

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

Accepted Insurance

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Family Medicine
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Nurse Practitioner (Family)
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Family Medicine
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Family Medicine
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Nurse Practitioner (Family)
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Nurse Practitioner (Family)
630 BURNETT DR
MOUNTAIN HOME, AR 72653
Nurse Practitioner (Family)
630 BURNETT DR
MOUNTAIN HOME, AR 72653

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.

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.

What insurance does Regional Family Medicine PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Regional Family Medicine PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 with the weekly NPPES data releases published by CMS.