FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC
NPI 1023747102
Clinic/Center - Infusion Therapy in Little Rock, AR
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fountains Infusion Center Of Little Rock, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fountains Infusion Center Of Little Rock, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Little Rock, AR 72211
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 25D2205172
Fountains Infusion Center · Madison, MSFrequently 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.
Is Fountains Infusion Center Of Little Rock, LLC enrolled in Medicare?
Yes. Fountains Infusion Center Of Little Rock, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fountains Infusion Center Of Little Rock, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fountains Infusion Center Of Little Rock, LLC, in Emergency Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Fountains Infusion Center Of Little Rock, Llc · NPI 1023747102
Infusion Therapy organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1023747102 (Entity type: Organization)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Also known as:** Fountains Infusion Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** George Phillips, OWNER
## Practice location
- **Address:** 15200 CHENAL PKWY STE 300, Little Rock, AR 72211
- **Phone:** (501) 451-6080 · **Fax:** (501) 451-6081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023747102) · Data from the CMS NPPES public registry.