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SHERIDAN FAMILY CLINIC
NPI 1275134603
Clinic/Center - Primary Care in Sheridan, AR

Active since November 03, 2020CLIA 04D2202764 · Waiver
109 W PINE ST STE A, SHERIDAN, AR 72150(870) 917-5572 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 12, 2021, Nov 3, 2020 (2 updates tracked since 2020).

About Sheridan Family Clinic NPPES

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

SHERIDAN FAMILY CLINIC (NPI 1275134603) is a healthcare organization registered as a primary care in Sheridan, Arkansas and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Melissa Gail Drake-rowe, Owner, as its authorized official.

NPPES Registry Identity

NPI1275134603
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHERIDAN FAMILY CLINIC
Location Address109 W PINE ST STE ASheridan, AR 72150-2443
Mailing Address109 W Pine St Ste ASheridan, AR 72150-2443 · (870) 600-1213
Phone(870) 917-5572
Organization SubpartNo
Authorized OfficialMelissa Gail Drake-roweOwner · (870) 600-1213
Enumeration DateNovember 3, 2020
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1275134603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
109 W PINE ST STE A, Sheridan, AR 72150
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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 04D2202764

Sheridan Family Clinic · Sheridan, AR
Active · expires Nov 30, 2026
CLIA Number04D2202764
Laboratory TypePractitioner Other
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorMelissa G. Drake-Rowe
Laboratory Phone(870) 917-5572
Laboratory LocationSheridan Family Clinic109 W Pine St Ste A, Sheridan, AR 72150
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 Sheridan Family Clinic's NPI number?

The NPI number for Sheridan Family Clinic is 1275134603. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Sheridan Family Clinic located?

Sheridan Family Clinic is located at 109 W Pine St Ste A, Sheridan, AR 72150. The listed phone number is (870) 917-5572.

What is Sheridan Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Sheridan Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2202764) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sheridan Family Clinic was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.