EAST ARKANSAS FAMILY HEALTH CENTER, INC
NPI 1033997275
Clinic/Center - Federally Qualified Health Center (FQHC) in West Memphis, AR

Active since September 19, 2023CLIA Certified · 2 labs
301 W POLK AVE, WEST MEMPHIS, AR 72301(870) 735-3842 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About East Arkansas Family Health Center, Inc NPPES

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

EAST ARKANSAS FAMILY HEALTH CENTER, INC (NPI 1033997275), doing business as East Arkansas Family Health Center South, is a healthcare organization registered as a federally qualified health center (fqhc) in West Memphis, Arkansas and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Susan W Ward-jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033997275
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST ARKANSAS FAMILY HEALTH CENTER, INC
Location Address301 W POLK AVEWest Memphis, AR 72301-4262
Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 735-3842
Organization SubpartYesParent: East Arkansas Family Health Center Inc
Authorized OfficialSusan W Ward-jonesCeo · (870) 733-6388
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1033997275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
301 W POLK AVE, West Memphis, AR 72301

Other Names 1

Doing Business AsEast Arkansas Family Health Center South

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Arkansas Family Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to East Arkansas Family Health Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner18
Family Practice4
Clinical Social Worker3
Internal Medicine2
Ophthalmology1
Pediatric Medicine1

Nearest to this location (20)

See all 29
Family Practice
NPI 1083626998
301 W POLK AVE
West Memphis, AR 72301
(870) 735-0833
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689644478
215 E BOND AVE
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1528903507
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1851126551
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1881256220
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1720617616
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1568088490
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1518443670
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Ophthalmology
NPI 1881612059
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Pediatric Medicine
NPI 1619397809
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1760915813
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1619348703
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1578784997
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS1.1 mi
Internal Medicine
NPI 1851368740
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1396762977
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1760838833
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1205499019
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1376854273
900 N 7TH ST
West Memphis, AR 72301
(870) 735-3842
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1285819227
216 ARKANSAS ST
Earle, AR 72331
(870) 792-7676
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1689021834
7735 FARMINGTON BLVD
Germantown, TN 38138
(901) 757-6805
✔ PECOS✔ Accepts Medicare22 mi
See all 29 clinicians

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 Waiver 04D0467668

East Arkansas Family Health Center- West Memphis · West Memphis, AR
Active · expires Jun 4, 2027
CLIA Number04D0467668
Laboratory TypeOther
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorSusan Ward Jones
Laboratory Phone(870) 735-3842
Laboratory LocationEast Arkansas Family Health Center- West Memphis900 North 7th Street, West Memphis, AR 72301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2281782

East Arkansas Family Health Center South · West Memphis, AR
Active · expires May 10, 2027
CLIA Number04D2281782
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorDr. Holli Banks-Giles
Laboratory Phone(870) 735-3842
Laboratory LocationEast Arkansas Family Health Center South301 W Polk, West Memphis, AR 72301
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 East Arkansas Family Health Center, Inc's NPI number?

The NPI number for East Arkansas Family Health Center, Inc is 1033997275. It was assigned to this organization in the NPPES registry on September 19, 2023. The provider is doing business as East Arkansas Family Health Center South.

Where is East Arkansas Family Health Center, Inc located?

East Arkansas Family Health Center, Inc is located at 301 W Polk Ave, West Memphis, AR 72301. The listed phone number is (870) 735-3842.

What is East Arkansas Family Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is East Arkansas Family Health Center, Inc enrolled in Medicare?

Yes. East Arkansas Family Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Arkansas Family Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to East Arkansas Family Health Center, Inc. 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 Nurse Practitioner (18), Family Practice (4) and Clinical Social Worker (3). Of these, 1 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Arkansas Family Health Center, Inc 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 East Arkansas Family Health Center, Inc was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.