WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE
NPI 1114971819
Family Medicine in Fayetteville, AR

Q: What is Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1114971819. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Washington Regional Family Clinic Fayetteville.

Q: What is Washington Regional Medical System's specialty?

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

Active since May 19, 2006CLIA 04D1091249 · Microscopy

3053 N COLLEGE AVENUE, FAYETTEVILLE, AR 72703(479) 463-2000(479) 442-4518 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Washington Regional Family Clinic Fayetteville NPPES

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

WASHINGTON REGIONAL FAMILY CLINIC FAYETTEVILLE (NPI 1114971819) is a healthcare organization registered as a family medicine in Fayetteville, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 27, 2026 and lists Mary Jo Rothrock, Director Clinic Administration, as its authorized official.

NPPES Registry Identity

NPI1114971819

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM

Location Address3053 N COLLEGE AVENUEFayetteville, AR 72703

Mailing AddressPo Box 879Fayetteville, AR 72702-0879 · (479) 713-7115 · Fax (479) 713-7186

Phone(479) 463-2000

Fax(479) 442-4518

Organization SubpartNo

Authorized OfficialMary Jo RothrockDirector Clinic Administration · (479) 463-1390

Enumeration DateMay 19, 2006

Last NPPES UpdateMarch 25, 2008

✔ NPI 1114971819 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.

3053 N COLLEGE AVENUE, Fayetteville, AR 72703

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Other Names 1

Doing Business AsWashington Regional Family Clinic Fayetteville

Other Identifiers 1

Medicare ID-Type Unspecified5B608AR

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 for Provider-Performed Microscopy Procedures (PPMP) 04D1091249

Washington Regional Family Clinic Fayetteville Washington Regional Medical System · Fayetteville, AR

Active · expires Oct 27, 2026

CLIA Number04D1091249

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorDr. David G. Ratcliff

Laboratory Phone(479) 463-2000

Laboratory LocationWashington Regional Family Clinic Fayetteville Washington Regional Medical System3 E Appleby Rd, Suite 301, Fayetteville, AR 72703

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

JOHNNY P ADKINS MD

General Practice

3053 N COLLEGE AVENUE
FAYETTEVILLE, AR 72703

Washington County (479) 463-2000

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 Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1114971819. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Washington Regional Family Clinic Fayetteville.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 3053 N College Avenue, Fayetteville, AR 72703. The listed phone number is (479) 463-2000.

What is Washington Regional Medical System's specialty?

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

Does Washington Regional Medical System hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1091249) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Washington Regional Medical System 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 Washington Regional Medical System 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 Washington Regional Medical System was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.