ACCESS MEDICAL CLINIC ARKANSAS LLC
NPI 1255910782
Podiatrist in Booneville, AR

Active since April 02, 2021CLIA 04D2137349 · Waiver
871 W MAIN ST, BOONEVILLE, AR 72927(479) 675-4100(479) 675-4102 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Apr 2, 2021 (2 updates tracked since 2021).

About Access Medical Clinic Arkansas Llc NPPES

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

ACCESS MEDICAL CLINIC ARKANSAS LLC (NPI 1255910782), doing business as Access Medical Podiatry, is a healthcare organization registered as a podiatrist in Booneville, Arkansas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Monya York, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1255910782
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameACCESS MEDICAL CLINIC ARKANSAS LLC
Location Address871 W MAIN STBooneville, AR 72927-3420
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Fax(479) 675-4102
Organization SubpartNo
Authorized OfficialMonya YorkComptroller · (870) 856-1202
Enumeration DateApril 2, 2021
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1255910782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
871 W MAIN ST, Booneville, AR 72927

Other Names 1

Doing Business AsAccess Medical Podiatry

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

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 04D2137349

Access Medical Clinic Arkansas LLC · Booneville, AR
Active · expires Sep 24, 2027
CLIA Number04D2137349
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Mark Hahn
Laboratory Phone(479) 675-4100
Laboratory LocationAccess Medical Clinic Arkansas LLC871 W Main St, Booneville, AR 72927
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Adult Health)
871 W MAIN ST
BOONEVILLE, AR 72927
Clinic/Center (Rural Health)
871 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Family)
871 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Family)
871 W MAIN ST
BOONEVILLE, AR 72927
Nurse Practitioner (Gerontology)
871 W MAIN ST
BOONEVILLE, AR 72927

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 Access Medical Clinic Arkansas LLC's NPI number?

The NPI number for Access Medical Clinic Arkansas LLC is 1255910782. It was assigned to this organization in the NPPES registry on April 2, 2021. The provider is doing business as Access Medical Podiatry.

Where is Access Medical Clinic Arkansas LLC located?

Access Medical Clinic Arkansas LLC is located at 871 W Main St, Booneville, AR 72927. The listed phone number is (479) 675-4100.

What is Access Medical Clinic Arkansas LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Access Medical Clinic Arkansas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2137349) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Access Medical Clinic Arkansas LLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.