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: November 08, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Access Medical Clinic Arkansas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

149

Medicare enrollment records show 149 clinicians reassign Medicare billing to Access Medical Clinic Arkansas LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner117
Family Practice19
Internal Medicine5
Qualified Audiologist3
Certified Clinical Nurse Specialist (CNS)2
Podiatry2
Geriatric Medicine1

Nearest to this location (20)

See all 149
Nurse Practitioner
NPI 1801521505
871 W MAIN ST
Booneville, AR 72927
(479) 675-4100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649831041
871 W MAIN ST
Booneville, AR 72927
(479) 675-4100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114329497
871 W MAIN ST
Booneville, AR 72927
(479) 675-4100
✔ PECOSSame address
Nurse Practitioner
NPI 1275105983
314 N 18TH ST
Ozark, AR 72949
(479) 703-5000
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1871352138
2435 VETERANS WAY
Greenwood, AR 72936
(479) 996-4111
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1730892811
7600 ROGERS AVE
Fort Smith, AR 72903
(479) 259-9871
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1093193823
1001 TOWSON AVE
Fort Smith, AR 72901
(479) 441-4000
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1528013851
14 GOTHIC RIDGE RD
Van Buren, AR 72956
(479) 474-1100
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1598570426
409 S ROGERS ST
Clarksville, AR 72830
(479) 491-4141
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1033696273
9217 N HIGHWAY 59
Cedarville, AR 72932
(870) 895-2015
✔ PECOS✔ Accepts Medicare38 mi
Family Practice
NPI 1831359082
501 E B ST
Russellville, AR 72801
(479) 567-5467
✔ PECOS✔ Accepts Medicare46 mi
Internal Medicine
NPI 1497751390
111 CORDOBA CENTER DR
Hot Springs Village, AR 71909
(501) 262-3220
✔ PECOS✔ Accepts Medicare60 mi
Family Practice
NPI 1083643506
621 S MOCK ST
Prairie Grove, AR 72753
(479) 422-7212
✔ PECOS✔ Accepts Medicare61 mi
Internal Medicine
NPI 1316901994
210 S THOMPSON ST STE 4A
Springdale, AR 72764
(479) 445-9900
✔ PECOS✔ Accepts Medicare73 mi
Family Practice
NPI 1518962968
114 N MAIN ST
Nashville, AR 71852
(870) 845-0033
✔ PECOS83 mi
Qualified Audiologist
NPI 1629362892
1501 SE WALTON BLVD STE 119
Bentonville, AR 72712
(479) 254-0011
✔ Accepts Medicare84 mi
Qualified Audiologist
NPI 1386853893
3500 SE CLUB BLVD
Bentonville, AR 72712
(479) 986-8004
✔ Accepts Medicare85 mi
Internal Medicine
NPI 1952497240
2223 GRANT ST
Malvern, AR 72104
(501) 337-9031
✔ PECOS✔ Accepts Medicare85 mi
Podiatry
NPI 1093949448
2711 LAKESIDE DR
Benton, AR 72019
(845) 461-9574
✔ PECOS✔ Accepts Medicare87 mi
Geriatric Medicine
NPI 1134219603
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare96 mi
See all 149 clinicians

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 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.

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.

Is Access Medical Clinic Arkansas LLC enrolled in Medicare?

Yes. Access Medical Clinic Arkansas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Access Medical Clinic Arkansas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 7 Medicare specialties reassign their Medicare billing to Access Medical Clinic Arkansas LLC. 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. The largest specialties are Nurse Practitioner (117), Family Practice (19) and Internal Medicine (5). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 19 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.