NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC
NPI 1306877576
Family Medicine in N Little Rock, AR
About North Little Rock Primary Care And Diagnostic Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH LITTLE ROCK PRIMARY CARE AND DIAGNOSTIC CLINIC PLLC (NPI 1306877576) is a healthcare organization registered as a family medicine in N Little Rock, Arkansas and active in the NPI registry since July 2006. The organization lists Derek Lewis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Little Rock Primary Care And Diagnostic Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North Little Rock Primary Care And Diagnostic Clinic PLLC, 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)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 North Little Rock Primary Care And Diagnostic Clinic PLLC's NPI number?
The NPI number for North Little Rock Primary Care And Diagnostic Clinic PLLC is 1306877576. It was assigned to this organization in the NPPES registry on July 6, 2006.
Where is North Little Rock Primary Care And Diagnostic Clinic PLLC located?
North Little Rock Primary Care And Diagnostic Clinic PLLC is located at 400 W Pershing Blvd, N Little Rock, AR 72114. The listed phone number is (501) 771-7717.
What is North Little Rock Primary Care And Diagnostic Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is North Little Rock Primary Care And Diagnostic Clinic PLLC enrolled in Medicare?
Yes. North Little Rock Primary Care And Diagnostic Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Little Rock Primary Care And Diagnostic Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to North Little Rock Primary Care And Diagnostic Clinic PLLC. 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.
What insurance does North Little Rock Primary Care And Diagnostic Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list North Little Rock Primary Care And Diagnostic Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for North Little Rock Primary Care And Diagnostic Clinic PLLC was last updated on January 3, 2017. 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.
# North Little Rock Primary Care And Diagnostic Clinic Pllc · NPI 1306877576
Family Medicine organization in N Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1306877576 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Derek Lewis, PRESIDENT
## Practice location
- **Address:** 400 W PERSHING BLVD, N Little Rock, AR 72114-2146
- **Phone:** (501) 771-7717 · **Fax:** (501) 771-0550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2017
- **Other identifiers:** Other 5B979 (AR); Medicare PIN 5B979 (AR); Medicaid 133705002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1306877576) · Data from the CMS NPPES public registry.