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ARKANSAS PEDIATRIC CLINIC, PLLC
NPI 1073917274
Pediatrics in Bryant, AR

Active since October 17, 2014CLIA Certified · 3 labs
23157 I 30 STE 101, BRYANT, AR 72022(501) 664-4117(501) 664-1137 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Jun 3, 2021 (2 updates tracked since 2021).

About Arkansas Pediatric Clinic, Pllc NPPES

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

ARKANSAS PEDIATRIC CLINIC, PLLC (NPI 1073917274) is a healthcare organization registered as a pediatrics in Bryant, Arkansas and active in the NPI registry since October 2014. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Patricia Parsons, Admin, as its authorized official.

NPPES Registry Identity

NPI1073917274
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameARKANSAS PEDIATRIC CLINIC, PLLC
Location Address23157 I 30 STE 101Bryant, AR 72022-2864
Mailing Address16115 Saint Vincent Way Ste 320Little Rock, AR 72223-3000 · (501) 664-4117 · Fax (501) 664-1137
Phone(501) 664-4117
Fax(501) 664-1137
Organization SubpartNo
Authorized OfficialPatricia ParsonsAdmin · (501) 320-4947
Enumeration DateOctober 17, 2014
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1073917274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
23157 I 30 STE 101, Bryant, AR 72022
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Secondary Practice Locations 3

Location 116115 Saint Vincent Way Ste 320Little Rock, AR 72223-3000 · Phone (501) 664-4117 · Fax (501) 664-1137
Location 2500 S University Ave Ste 317Little Rock, AR 72205-5342 · Phone (501) 664-4117 · Fax (501) 664-1137
Location 311749 Maumelle BlvdNorth Little Rock, AR 72113-6558 · Phone (501) 907-2722 · Fax (501) 907-2723

Other Identifiers 4

Medicaid204313002AR
Medicaid226133002AR
Medicaid148500002AR
Medicaid213058002AR

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

CLIA Laboratory Certificates CMS CLIA 3

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 04D2073431

Arkansas Pediatric Clinic · North Little Rock, AR
Active · expires Feb 17, 2028
CLIA Number04D2073431
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorDr. Lori Montgomery
Laboratory Phone(501) 664-4117
Laboratory LocationArkansas Pediatric Clinic11749 Maumelle Blvd, North Little Rock, AR 72113
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 04D2107564

Arkansas Pediatric Clinic · Bryant, AR
Active · expires Jan 14, 2028
CLIA Number04D2107564
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorDr. Lori Montgomery
Laboratory Phone(501) 664-4117
Laboratory LocationArkansas Pediatric Clinic23157 Interstate 30 S, Suite 101, Bryant, AR 72022
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 04D2147425

Arkansas Pediatric Clinic · Little Rock, AR
Active · expires Dec 12, 2027
CLIA Number04D2147425
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorDr. Lori Montgomery
Laboratory Phone(501) 664-4117
Laboratory LocationArkansas Pediatric Clinic16115 St Vincent Way, Ste 320, Little Rock, AR 72223
CLIA data matches this NPI record on: 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.

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 Arkansas Pediatric Clinic, PLLC's NPI number?

The NPI number for Arkansas Pediatric Clinic, PLLC is 1073917274. It was assigned to this organization in the NPPES registry on October 17, 2014.

Where is Arkansas Pediatric Clinic, PLLC located?

Arkansas Pediatric Clinic, PLLC is located at 23157 I 30 Ste 101, Bryant, AR 72022. The listed phone number is (501) 664-4117.

What is Arkansas Pediatric Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Arkansas Pediatric Clinic, PLLC hold CLIA laboratory certificates?

Yes. 3 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 Arkansas Pediatric Clinic, PLLC was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.