RANDY D. WALKER, M.D., P.L.L.C.
NPI 1114185121
Family Medicine in De Queen, AR

Active since May 27, 2008CLIA Certified · 2 labs
1553 W COLLIN RAYE DR, DE QUEEN, AR 71832(870) 584-3000(870) 584-3003 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randy D. Walker, M.d., P.l.l.c. NPPES

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

RANDY D. WALKER, M.D., P.L.L.C. (NPI 1114185121) is a healthcare organization registered as a family medicine in De Queen, Arkansas and active in the NPI registry since May 2008. The organization holds 2 active CLIA laboratory certificates and lists Randy Dean Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1114185121
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDY D. WALKER, M.D., P.L.L.C.
Location Address1553 W COLLIN RAYE DRDe Queen, AR 71832-3801
Mailing AddressPo Box 740De Queen, AR 71832-0740 · (870) 584-3000 · Fax (870) 584-3003
Fax(870) 584-3003
Organization SubpartNo
Authorized OfficialRandy Dean WalkerOwner · (870) 584-3000
Enumeration DateMay 27, 2008
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1114185121 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.
1553 W COLLIN RAYE DR, De Queen, AR 71832

Other Identifiers 4

Medicaid145639001AR
Medicaid145640002AR
Medicare UPINH44955AR
Other5L991AR · Arkansas Blue Cross And Blue Shield

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy D. Walker, M.d., P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Randy D. Walker, M.D., P.L.L.C., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner11
Family Practice2

Clinicians, nearest first (13)

Family Practice
NPI 1730185752
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467303719
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOSSame address
Nurse Practitioner
NPI 1255084042
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770173536
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548869845
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225781032
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932707346
1553 W COLLIN RAYE DR
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790180248
167 SCHOOL DRIVE
De Queen, AR 71832
(870) 584-3000
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1124537162
415 CROOKED RD
De Queen, AR 71832
(111) 111-1111
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1124584503
101 W MAIN
Lockesburg, AR 71846
(870) 289-0001
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1720613482
1142 HIGHWAY 71 S STE D
Mena, AR 71953
(479) 391-2424
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1326544305
4077 JEFFERSON AVE
Texarkana, AR 71854
(870) 330-9200
✔ PECOS✔ Accepts Medicare45 mi
Family Practice
NPI 1306230586
300 E 6TH ST
Texarkana, AR 71854
(870) 779-6000
✔ PECOS✔ Accepts Medicare47 mi

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 2

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 04D1013224

Randy D Walker MD PLLC · De Queen, AR
Active · expires Mar 7, 2027
CLIA Number04D1013224
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Randy D. Walker
Laboratory Phone(870) 584-3000
Laboratory LocationRandy D Walker MD PLLC1553 West Collin Raye Drive, De Queen, AR 71832
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2336752

Randy D Walker, PLLC Foreman Clinic · Foreman, AR
Active · expires Sep 13, 2028
CLIA Number04D2336752
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorDr. Randy D. Walker
Laboratory Phone(870) 584-3000
Laboratory LocationRandy D Walker, PLLC Foreman Clinic106 South Madden, Foreman, AR 71836
CLIA data matches this NPI record on: 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 Randy D. Walker, M.D., P.L.L.C.'s NPI number?

The NPI number for Randy D. Walker, M.D., P.L.L.C. is 1114185121. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Randy D. Walker, M.D., P.L.L.C. located?

Randy D. Walker, M.D., P.L.L.C. is located at 1553 W Collin Raye Dr, De Queen, AR 71832. The listed phone number is (870) 584-3000.

What is Randy D. Walker, M.D., P.L.L.C.'s specialty?

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

Is Randy D. Walker, M.D., P.L.L.C. enrolled in Medicare?

Yes. Randy D. Walker, M.D., P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randy D. Walker, M.D., P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Randy D. Walker, M.D., P.L.L.C.. 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 (11) and Family Practice (2). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Randy D. Walker, M.D., P.L.L.C. hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Randy D. Walker, M.D., P.L.L.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Randy D. Walker, M.D., P.L.L.C. 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 Randy D. Walker, M.D., P.L.L.C. was last updated on September 3, 2013. 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.