DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
NPI 1104678820
Family Medicine in De Queen, AR

Active since April 04, 2024CLIA 04D2301302 · Waiver
500 E COLLIN RAYE DR, DE QUEEN, AR 71832(870) 584-3627 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Apr 4, 2024 (3 updates tracked since 2024).

About De Queen Family Medical Associates Pllc NPPES

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

DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC (NPI 1104678820) is a healthcare organization registered as a family medicine in De Queen, Arkansas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists William H. Kelley, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104678820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
Location Address500 E COLLIN RAYE DRDe Queen, AR 71832-8048
Mailing Address500 E Collin Raye DrDe Queen, AR 71832-8048
Organization SubpartNo
Authorized OfficialWilliam H. KelleyAuthorized Official · (870) 584-3627
Enumeration DateApril 4, 2024
Last NPPES UpdateMay 31, 20243 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
NPI 1104678820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 E COLLIN RAYE DR, De Queen, AR 71832

Other Identifiers 1

Medicaid319492002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Waiver 04D2301302

De Queen Family Medical Associates PLLC · De Queen, AR
Active · expires Mar 24, 2028
CLIA Number04D2301302
Laboratory TypePractitioner Other
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. William H. Kelley
Laboratory Phone(870) 584-3627
Laboratory LocationDe Queen Family Medical Associates PLLC500 East Collin Raye Drive, De Queen, AR 71832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Pharmacist
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Nurse Practitioner (Gerontology)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Family Medicine
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Pharmacist
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Pharmacy (Community/Retail Pharmacy)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832
Nurse Practitioner (Family)
500 E COLLIN RAYE DR
DE QUEEN, AR 71832

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 De Queen Family Medical Associates PLLC's NPI number?

The NPI number for De Queen Family Medical Associates PLLC is 1104678820. It was assigned to this organization in the NPPES registry on April 4, 2024.

Where is De Queen Family Medical Associates PLLC located?

De Queen Family Medical Associates PLLC is located at 500 E Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 584-3627.

What is De Queen Family Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does De Queen Family Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2301302) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De Queen Family Medical Associates PLLC 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 De Queen Family Medical Associates PLLC 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 De Queen Family Medical Associates PLLC was last updated on May 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.