DALLAS COUNTY MEDICAL CENTER ER PHYSICIANS GROUP
NPI 1043308935
Emergency Medicine - Emergency Medical Services in Fordyce, AR
About Dallas County Medical Center Er Physicians Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS COUNTY MEDICAL CENTER ER PHYSICIANS GROUP (NPI 1043308935) is a healthcare organization registered as an emergency medical services in Fordyce, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2027 and lists Tamara K Rieves, Administrator / Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dallas County Medical Center Er Physicians Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Dallas County Medical Center ER Physicians Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (18)
Birmingham, AL 35209
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 Compliance 04D0689262
Dallas County Medical Center · Fordyce, ARFrequently 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 Board Of Governors Of Dallas County Medical Center's NPI number?
The NPI number for Board Of Governors Of Dallas County Medical Center is 1043308935. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Dallas County Medical Center ER Physicians Group.
Where is Board Of Governors Of Dallas County Medical Center located?
Board Of Governors Of Dallas County Medical Center is located at 201 North Clifton Street, Fordyce, AR 71742. The listed phone number is (870) 352-6363.
What is Board Of Governors Of Dallas County Medical Center's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Board Of Governors Of Dallas County Medical Center enrolled in Medicare?
Yes. Board Of Governors Of Dallas County Medical Center is registered in the Medicare PECOS enrollment system.
When is Board Of Governors Of Dallas County Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Board Of Governors Of Dallas County Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Board Of Governors Of Dallas County Medical Center. 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 Family Practice (6), Nurse Practitioner (6) and Emergency Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Board Of Governors Of Dallas County Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0689262) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Board Of Governors Of Dallas County Medical Center was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dallas County Medical Center Er Physicians Group · NPI 1043308935
Emergency Medical Services organization in Fordyce, Arkansas. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1043308935 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **Legal business name:** Board Of Governors Of Dallas County Medical Center
- **Organization subpart:** No
- **Authorized official:** Tamara Rieves, ADMINISTRATOR / CEO
## Practice location
- **Address:** 201 NORTH CLIFTON STREET, Fordyce, AR 71742
- **Phone:** (870) 352-6363 · **Fax:** (870) 352-6343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 18 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (6), Emergency Medicine (2); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2016
- **Other identifiers:** Other 5C703 (AR); Medicare OSCAR/certification 05C703 (AR); Medicaid 148414002 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043308935) · Data from the CMS NPPES public registry.