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NEA BAPTIST CLINIC
NPI 1346661956
Clinic/Center - Multi-Specialty in Jonesboro, AR

Active since December 27, 2013CLIA Certified · 3 labs
4802 E. JOHNSON AVENUE, JONESBORO, AR 72401(870) 936-8000 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nea Baptist Clinic NPPES

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

NEA BAPTIST CLINIC (NPI 1346661956) is a healthcare organization registered as a multi-specialty in Jonesboro, Arkansas and active in the NPI registry since December 2013. The organization holds 3 active CLIA laboratory certificates and lists Gregory M. Duckett, Sr. Vp / Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1346661956
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC
Location Address4802 E. JOHNSON AVENUEJonesboro, AR 72401
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177
Phone(870) 936-8000
Organization SubpartYesParent: Baptist Memorial Health Care Corp.
Authorized OfficialGregory M. DuckettSr. Vp / Corporate Secretary · (901) 227-5233
Enumeration DateDecember 27, 2013
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1346661956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AR · MC-2122
4802 E. JOHNSON AVENUE, Jonesboro, AR 72401
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Other Names 1

Doing Business AsNea Baptist Clinic

Other Identifiers 2

Medicaid184473002AR
Other5G237AR · Bcbs

CLIA Laboratory Certificates CMS CLIA 3

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 04D2009250

Nea Baptist Clinic - Clinical Research Center · Jonesboro, AR
Active · expires Jun 28, 2028
CLIA Number04D2009250
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorPaul A. Koros
Laboratory Phone(870) 934-5210
Laboratory LocationNea Baptist Clinic - Clinical Research Center4802 East Johnson Avenue, Jonesboro, AR 72401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0863537

Nea Baptist Clinic-Urology · Jonesboro, AR
Active · expires Dec 6, 2027
CLIA Number04D0863537
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDr. John M. Allen
Laboratory Phone(870) 936-8190
Laboratory LocationNea Baptist Clinic-Urology4802 E Johnson Ave Urology Lab 2nd Floor, Jonesboro, AR 72401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 04D0683904

Nea Baptist Clinic Windover · Jonesboro, AR
Active · expires Nov 29, 2027
CLIA Number04D0683904
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorMs. April Campbell
Laboratory Phone(870) 935-5432
Laboratory LocationNea Baptist Clinic Windover1111 Windover Rd, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
Clinical Medical Laboratory
4802 E. JOHNSON AVENUE
JONESBORO, AR 72401
Craighead County (870) 936-8000

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 Northeast Arkansas Clinic Charitable Foundation, Inc's NPI number?

The NPI number for Northeast Arkansas Clinic Charitable Foundation, Inc is 1346661956. It was assigned to this organization in the NPPES registry on December 27, 2013. The provider is doing business as Nea Baptist Clinic.

Where is Northeast Arkansas Clinic Charitable Foundation, Inc located?

Northeast Arkansas Clinic Charitable Foundation, Inc is located at 4802 E. Johnson Avenue, Jonesboro, AR 72401. The listed phone number is (870) 936-8000.

What is Northeast Arkansas Clinic Charitable Foundation, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Northeast Arkansas Clinic Charitable Foundation, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northeast Arkansas Clinic Charitable Foundation, Inc was last updated on September 30, 2020. 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.