1. Home
  2. Directory
  3. Arkansas
  4. Hot Springs
  5. General Practice
  6. NPI Profile

LAKESIDE WALK-IN CLINIC PLLC
NPI 1205345154
General Practice in Hot Springs, AR

Active since September 22, 2017CLIA 04D2137861 · Waiver
2230 MALVERN AVE STE E, HOT SPRINGS, AR 71901(501) 781-3612(501) 781-3618 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, Jan 16, 2018, Sep 22, 2017 (3 updates tracked since 2017).

About Lakeside Walk-in Clinic Pllc NPPES

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

LAKESIDE WALK-IN CLINIC PLLC (NPI 1205345154) is a healthcare organization registered as a general practice in Hot Springs, Arkansas and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Ernest R Ennis, Owner, as its authorized official.

NPPES Registry Identity

NPI1205345154
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLAKESIDE WALK-IN CLINIC PLLC
Location Address2230 MALVERN AVE STE EHot Springs, AR 71901-8000
Mailing Address2230 Malvern Ave Unit 3Hot Springs, AR 71901-8038
Phone(501) 781-3612
Fax(501) 781-3618
Organization SubpartNo
Authorized OfficialErnest R EnnisOwner · (501) 844-7020
Enumeration DateSeptember 22, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1205345154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2230 MALVERN AVE STE E, Hot Springs, AR 71901
Open in Google Maps ↗

Other Identifiers 1

Medicaid11111AR

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 of Waiver 04D2137861

Lakeside Walk In Clinic · Hot Springs, AR
Active · expires Oct 3, 2027
CLIA Number04D2137861
Laboratory TypeIndependent
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorErnest R. Ennis
Laboratory Phone(501) 844-7020
Laboratory LocationLakeside Walk In Clinic2230 Malvern Ave, Suite E, Hot Springs, AR 71901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Lakeside Walk-In Clinic PLLC's NPI number?

The NPI number for Lakeside Walk-In Clinic PLLC is 1205345154. It was assigned to this organization in the NPPES registry on September 22, 2017.

Where is Lakeside Walk-In Clinic PLLC located?

Lakeside Walk-In Clinic PLLC is located at 2230 Malvern Ave Ste E, Hot Springs, AR 71901. The listed phone number is (501) 781-3612.

What is Lakeside Walk-In Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Lakeside Walk-In Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2137861) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Walk-In Clinic 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 Lakeside Walk-In Clinic 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 Lakeside Walk-In Clinic PLLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.