CLARKSVILLE WOMEN'S CENTER
NPI 1174583603
Obstetrics & Gynecology in Clarksville, AR

Active since March 27, 2006CLIA 04D2063541 · Microscopy
1100 E POPLAR ST, CLARKSVILLE, AR 72830(479) 754-5337(479) 754-5348 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clarksville Women's Center NPPES

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

CLARKSVILLE WOMEN'S CENTER (NPI 1174583603) is a healthcare organization registered as an obstetrics & gynecology in Clarksville, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through August 4, 2027 and lists Larry Morse, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174583603
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJOHNSON REGIONAL MEDICAL CENTER
Location Address1100 E POPLAR STClarksville, AR 72830-4419
Mailing AddressPo Box 1836Clarksville, AR 72830-1836 · (479) 754-5337 · Fax (479) 754-5348
Fax(479) 754-5348
Organization SubpartNo
Authorized OfficialLarry MorseAdministrator · (479) 754-2060
Enumeration DateMarch 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174583603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1100 E POPLAR ST, Clarksville, AR 72830

Other Names 1

Doing Business AsClarksville Women's Center

Other Identifiers 1

Other5F191AR · Ark Blue Cross

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)

Clarksville Women's Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clarksville Women's Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1255813879
1100 E POPLAR ST STE A
Clarksville, AR 72830
(479) 754-5337
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386790137
3401 SPRINGHILL DR STE 390
North Little Rock, AR 72117
(501) 835-9444
✔ PECOS✔ Accepts Medicare84 mi
Obstetrics/Gynecology
NPI 1922503747
901 E 2ND ST STE 300
Reno, NV 89502
(775) 982-5640
✔ PECOS✔ Accepts Medicare1,469 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

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) 04D2063541

Clarksville Women's Center · Clarksville, AR
Active · expires Aug 4, 2027
CLIA Number04D2063541
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDr. Quinience M. Hurdle
Laboratory Phone(479) 754-5337
Laboratory LocationClarksville Women's Center1100 E Poplar, Suite A, Clarksville, AR 72830
CLIA data matches this NPI record on: Address 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.

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 Johnson Regional Medical Center's NPI number?

The NPI number for Johnson Regional Medical Center is 1174583603. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Clarksville Women's Center.

Where is Johnson Regional Medical Center located?

Johnson Regional Medical Center is located at 1100 E Poplar St, Clarksville, AR 72830. The listed phone number is (479) 754-5337.

What is Johnson Regional Medical Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Johnson Regional Medical Center enrolled in Medicare?

Yes. Johnson Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Johnson Regional Medical Center, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Johnson Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2063541) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Johnson Regional Medical Center 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 Johnson Regional Medical Center 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 Johnson Regional Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.