PREMISE HEALTH OF ARKANSAS MEDICAL P A
NPI 1225202518
General Practice in Gentry, AR
NPI Status: Active since April 17, 2008
Contact Information
555 MCKEE DR
GENTRY, AR
ZIP 72734
Phone: (479) 326-8670
Fax: (479) 326-8671
- Organization
- General Practice
- CLIA Number: 04D2181959
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-13-2028
About PREMISE HEALTH OF ARKANSAS MEDICAL P A
This page provides the complete NPI Profile along with additional information for Premise Health Of Arkansas Medical P A, a primary care provider established in Gentry, Arkansas operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1225202518 assigned on April 2008. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1225202518
- Provider Legal Name
- PREMISE HEALTH OF ARKANSAS MEDICAL P A
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 555 MCKEE DR GENTRY, AR 72734
- Location Phone
- (479) 326-8670
- Location Fax
- (479) 326-8671
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2008
- Last Update Date
- 02-03-2026
- Code Navigator
A primary care provider (PCP) like Premise Health Of Arkansas Medical P A sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2181959
- Facility Type
- Physician Office
- Certificate Effective Date
- April 14, 2026
- Certificate Expiration Date
- April 13, 2028
- Laboratory Director
- MS. LISA KAFFKA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Of Arkansas Medical P A to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225202518, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225202518, enumerated as an "organization" on April 17, 2008.
The provider is located at 555 MCKEE DR GENTRY, AR 72734 and the phone number is (479) 326-8670.
General Practice with taxonomy code 208D00000X.
