CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA
NPI 1073521175
Internal Medicine - Gastroenterology in Little Rock, AR

Active since August 04, 2006CLIA 04D1101488 · Certificate of Compliance
212 NATURAL RESOURCES DR, LITTLE ROCK, AR 72205(501) 664-7200(501) 664-7205 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Arkansas Gastroenterology Clinic, Pa NPPES

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

CENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA (NPI 1073521175) is a healthcare organization registered as a gastroenterology in Little Rock, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2027 and lists Keith Edward Morris, President, as its authorized official.

NPPES Registry Identity

NPI1073521175
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCENTRAL ARKANSAS GASTROENTEROLOGY CLINIC, PA
Location Address212 NATURAL RESOURCES DRLittle Rock, AR 72205-1573
Mailing AddressPo Box 55073Little Rock, AR 72215-5073 · (501) 664-7200 · Fax (501) 664-7205
Fax(501) 664-7205
Organization SubpartNo
Authorized OfficialKeith Edward MorrisPresident · (501) 664-7200
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 14, 2012
NPI 1073521175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AR · E3487
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
212 NATURAL RESOURCES DR, Little Rock, AR 72205

Other Identifiers 1

Medicare ID-Type Unspecified5M425AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Compliance 04D1101488

Central Arkansas Gastroenterology · Little Rock, AR
Active · expires May 21, 2027
CLIA Number04D1101488
Laboratory TypeIndependent
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorDr. Chunyang Fan
Laboratory Phone(501) 664-7200
Laboratory LocationCentral Arkansas Gastroenterology212 Natural Resources Drive, Little Rock, AR 72205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Physician Assistant
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Anesthesiology
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Physician Assistant
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Specialist
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205
Clinic/Center
212 NATURAL RESOURCES DR
LITTLE ROCK, AR 72205

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 Central Arkansas Gastroenterology Clinic, PA's NPI number?

The NPI number for Central Arkansas Gastroenterology Clinic, PA is 1073521175. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Central Arkansas Gastroenterology Clinic, PA located?

Central Arkansas Gastroenterology Clinic, PA is located at 212 Natural Resources Dr, Little Rock, AR 72205. The listed phone number is (501) 664-7200.

What is Central Arkansas Gastroenterology Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Central Arkansas Gastroenterology Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D1101488) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Arkansas Gastroenterology Clinic, PA 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 Central Arkansas Gastroenterology Clinic, PA 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 Central Arkansas Gastroenterology Clinic, PA was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.