FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC
NPI 1023747102
Clinic/Center - Infusion Therapy in Little Rock, AR

Active since June 06, 2022CLIA 25D2205172 · Waiver
15200 CHENAL PKWY STE 300, LITTLE ROCK, AR 72211(501) 451-6080(501) 451-6081 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountains Infusion Center Of Little Rock, Llc NPPES

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

FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC (NPI 1023747102), doing business as Fountains Infusion Center, is a healthcare organization registered as an infusion therapy in Little Rock, Arkansas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists George Wade Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1023747102
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameFOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC
Location Address15200 CHENAL PKWY STE 300Little Rock, AR 72211
Mailing Address15200 Chenal Pkwy Ste 300Little Rock, AR 72211 · (501) 451-6080 · Fax (501) 451-6081
Fax(501) 451-6081
Organization SubpartNo
Authorized OfficialGeorge Wade PhillipsOwner · (601) 859-8200
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
NPI 1023747102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
15200 CHENAL PKWY STE 300, Little Rock, AR 72211

Other Names 1

Doing Business AsFountains Infusion Center

Accepted Insurance

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 25D2205172

Fountains Infusion Center · Madison, MS
Active · expires Dec 12, 2026
CLIA Number25D2205172
Laboratory TypeInfusion Center
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorHeather Hontzas
Laboratory Phone(601) 859-8200
Laboratory LocationFountains Infusion Center159 Fountains Blvd, Suite D, Madison, MS 39110
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 Fountains Infusion Center Of Little Rock, LLC's NPI number?

The NPI number for Fountains Infusion Center Of Little Rock, LLC is 1023747102. It was assigned to this organization in the NPPES registry on June 6, 2022. The provider is doing business as Fountains Infusion Center.

Where is Fountains Infusion Center Of Little Rock, LLC located?

Fountains Infusion Center Of Little Rock, LLC is located at 15200 Chenal Pkwy Ste 300, Little Rock, AR 72211. The listed phone number is (501) 451-6080.

What is Fountains Infusion Center Of Little Rock, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does Fountains Infusion Center Of Little Rock, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2205172) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fountains Infusion Center Of Little Rock, LLC 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 Fountains Infusion Center Of Little Rock, LLC 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 Fountains Infusion Center Of Little Rock, LLC was last updated on June 6, 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.