OUACHITA PHYSICIAN SERVICES, LLC
NPI 1215479159
Surgery in Camden, AR

Active since November 09, 2016CLIA 04D2041964 · Waiver
415 HOSPITAL DR, STE. 3, CAMDEN, AR 71701(870) 836-1300 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ouachita Physician Services, Llc NPPES

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

OUACHITA PHYSICIAN SERVICES, LLC (NPI 1215479159) is a healthcare organization registered as a surgery in Camden, Arkansas and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Peggy Abbott, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1215479159
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameOUACHITA PHYSICIAN SERVICES, LLC
Location Address415 HOSPITAL DR, STE. 3Camden, AR 71701-4615
Mailing Address415 Hospital Dr, Ste. 3Camden, AR 71701-4615
Organization SubpartNo
Authorized OfficialPeggy AbbottPresident & Ceo · (870) 836-1200
Enumeration DateNovember 9, 2016
✔ NPI 1215479159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
415 HOSPITAL DR, Camden, AR 71701

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ouachita Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ouachita Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1851459697
415 HOSPITAL DR STE 3
Camden, AR 71701
(870) 837-2888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134685209
476 HOSPITAL DR STE 1
Camden, AR 71701
(870) 836-5738
✔ PECOS0.1 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 of Waiver 04D2041964

Ouachita Physician Services Dba Ouachita Family Services · Camden, AR
Active · expires Jun 3, 2028
CLIA Number04D2041964
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorCamika Johnson
Laboratory Phone(870) 836-5738
Laboratory LocationOuachita Physician Services Dba Ouachita Family Services476 Hospital Drive, Camden, AR 71701
CLIA data matches this NPI record on: Name
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 Ouachita Physician Services, LLC's NPI number?

The NPI number for Ouachita Physician Services, LLC is 1215479159. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Ouachita Physician Services, LLC located?

Ouachita Physician Services, LLC is located at 415 Hospital Dr Ste. 3, Camden, AR 71701. The listed phone number is (870) 836-1300.

What is Ouachita Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ouachita Physician Services, LLC enrolled in Medicare?

Yes. Ouachita Physician Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ouachita Physician Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ouachita Physician Services, LLC, in General Surgery and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ouachita Physician Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2041964) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ouachita Physician Services, LLC was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.