MENA PEDIATRIC CENTER, PLLC
NPI 1164909081
Pediatrics in Mena, AR

Active since July 24, 2018
900 HIGHWAY 71 N, MENA, AR 71953(479) 394-5439 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, Feb 5, 2020, Jul 24, 2018 (3 updates tracked since 2018).

About Mena Pediatric Center, Pllc NPPES

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

MENA PEDIATRIC CENTER, PLLC (NPI 1164909081) is a healthcare organization registered as a pediatrics in Mena, Arkansas and active in the NPI registry since July 2018. The organization lists Alissa M Grant, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164909081
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMENA PEDIATRIC CENTER, PLLC
Location Address900 HIGHWAY 71 NMena, AR 71953-4304
Mailing Address900 Highway 71 NMena, AR 71953-4304 · (479) 394-5439
Organization SubpartNo
Authorized OfficialAlissa M GrantPhysician/owner · (479) 394-5439
Enumeration DateJuly 24, 2018
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1164909081 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.
900 HIGHWAY 71 N, Mena, AR 71953

Other Identifiers 1

Medicaid194837001AR

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

Other Providers at the Same Location NPPES

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

Pediatrics
900 HIGHWAY 71 N
MENA, AR 71953

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 Mena Pediatric Center, PLLC's NPI number?

The NPI number for Mena Pediatric Center, PLLC is 1164909081. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Mena Pediatric Center, PLLC located?

Mena Pediatric Center, PLLC is located at 900 Highway 71 N, Mena, AR 71953. The listed phone number is (479) 394-5439.

What is Mena Pediatric Center, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mena Pediatric Center, PLLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.