PHYSICIAN MANAGEMENT SERVICES OF ARKANSAS, LLC
NPI 1366061905
Family Medicine in Mountain Home, AR

Active since April 14, 2020
4683 OLD MILITARY RD, MOUNTAIN HOME, AR 72653(888) 829-8550 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2020, Apr 14, 2020 (2 updates tracked since 2020).

About Physician Management Services Of Arkansas, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF ARKANSAS, LLC (NPI 1366061905) is a healthcare organization registered as a family medicine in Mountain Home, Arkansas and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Mountain Home and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1366061905
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF ARKANSAS, LLC
Location Address4683 OLD MILITARY RDMountain Home, AR 72653-4871
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264 · (888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateApril 14, 2020
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
NPI 1366061905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4683 OLD MILITARY RD, Mountain Home, AR 72653

Secondary Practice Location 1

Location 1630 Burnett DrMountain Home, AR 72653-2941 · Phone (888) 829-8550

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

Accepted Insurance

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 Physician Management Services Of Arkansas, LLC's NPI number?

The NPI number for Physician Management Services Of Arkansas, LLC is 1366061905. It was assigned to this organization in the NPPES registry on April 14, 2020.

Where is Physician Management Services Of Arkansas, LLC located?

Physician Management Services Of Arkansas, LLC is located at 4683 Old Military Rd, Mountain Home, AR 72653. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Arkansas, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Arkansas, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 3 other insurers list Physician Management Services Of Arkansas, LLC 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 Physician Management Services Of Arkansas, LLC was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.