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FAMILY PRACTICE CENTER
NPI 1013108240
Clinic/Center - Primary Care in Clinton, AR

Active since August 05, 2007CLIA 04D0717370 · Waiver
194 SHAKERAG ROAD, CLINTON, AR 72031(501) 745-2800(501) 745-8864 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Practice Center NPPES

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

FAMILY PRACTICE CENTER (NPI 1013108240) is a healthcare organization registered as a primary care in Clinton, Arkansas and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brenda Lynn Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013108240
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY PRACTICE CENTER
Location Address194 SHAKERAG ROADClinton, AR 72031
Mailing AddressPo Box 1100Clinton, AR 72031-1100 · (501) 745-2800 · Fax (501) 745-8864
Phone(501) 745-2800
Fax(501) 745-8864
Organization SubpartNo
Authorized OfficialBrenda Lynn SmithOffice Manager · (501) 745-2800
Enumeration DateAugust 5, 2007
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1013108240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AR · N6056
194 SHAKERAG ROAD, Clinton, AR 72031
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Other Identifiers 1

Medicaid106212001AR

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 04D0717370

Family Practice Center · Clinton, AR
Active · expires Aug 31, 2026
CLIA Number04D0717370
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Jose E. Abiseid
Laboratory Phone(501) 745-2800
Laboratory LocationFamily Practice Center194 Shakerag Road, Clinton, AR 72031
CLIA data matches this NPI record on: Address 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 Family Practice Center's NPI number?

The NPI number for Family Practice Center is 1013108240. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Family Practice Center located?

Family Practice Center is located at 194 Shakerag Road, Clinton, AR 72031. The listed phone number is (501) 745-2800.

What is Family Practice Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Family Practice Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0717370) is associated with this NPI, valid through August 31, 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 Family Practice Center was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.