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SHIPLEY & SILLS FAMILY PRACTICE, PLLC
NPI 1104105972
Family Medicine - Adult Medicine in Fort Smith, AR

Active since August 11, 2011
8101 MCCLURE DR STE 203, FORT SMITH, AR 72916(479) 242-2577(479) 434-5987 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shipley & Sills Family Practice, Pllc NPPES

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

SHIPLEY & SILLS FAMILY PRACTICE, PLLC (NPI 1104105972) is a healthcare organization registered as an adult medicine in Fort Smith, Arkansas and active in the NPI registry since August 2011. The organization lists Sarah Guillory, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1104105972
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSHIPLEY & SILLS FAMILY PRACTICE, PLLC
Location Address8101 MCCLURE DR STE 203Fort Smith, AR 72916-6044
Mailing Address8101 Mcclure Dr Ste 203Fort Smith, AR 72916-6044 · (792) 422-5774 · Fax (479) 434-5987
Phone(479) 242-2577
Fax(479) 434-5987
Organization SubpartNo
Authorized OfficialSarah GuilloryBusiness Manager · (479) 242-2577
Enumeration DateAugust 11, 2011
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1104105972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8101 MCCLURE DR STE 203, Fort Smith, AR 72916
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shipley & Sills Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Shipley & Sills Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

David Sills, MD
Internal Medicine
NPI 1063409878
8101 MCCLURE DR # 203
Fort Smith, AR 72916
(792) 422-5774
✔ PECOS✔ Accepts Medicare0.1 mi
Donna Shipley, MD
Family Practice
NPI 1205970209
4003 MASSARD RD
Fort Smith, AR 72903
(479) 226-3836
✔ PECOS2.0 mi
Janice Sudbrink, APRN
Nurse Practitioner
NPI 1295192847
7800 DALLAS ST
Fort Smith, AR 72903
(479) 259-9286
✔ PECOS✔ Accepts Medicare2.8 mi
Sunny Bray, NP-C
Nurse Practitioner
NPI 1437517281
4620 ROGERS AVE STE 101
Fort Smith, AR 72903
(479) 384-5380
✔ PECOS✔ Accepts Medicare4.3 mi
Wendy Gaston, APN
Nurse Practitioner
NPI 1548204654
9755 W STATE HIGHWAY 22
Ratcliff, AR 72951
(479) 369-2091
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shipley & Sills Family Practice, PLLC's NPI number?

The NPI number for Shipley & Sills Family Practice, PLLC is 1104105972. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Shipley & Sills Family Practice, PLLC located?

Shipley & Sills Family Practice, PLLC is located at 8101 Mcclure Dr Ste 203, Fort Smith, AR 72916. The listed phone number is (479) 242-2577.

What is Shipley & Sills Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Shipley & Sills Family Practice, PLLC enrolled in Medicare?

Yes. Shipley & Sills Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shipley & Sills Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Shipley & Sills Family Practice, PLLC. 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 (3), Family Practice (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shipley & Sills Family Practice, PLLC was last updated on June 25, 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.