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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
NPI 1386694933
Family Medicine in Prairie Grove, AR

Active since May 12, 2006
775 E DOUGLAS ST, PRAIRIE GROVE, AR 72753(479) 267-5600(479) 846-5056 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Associates Of Northwest Arkansas Pa NPPES

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

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI 1386694933) is a healthcare organization registered as a family medicine in Prairie Grove, Arkansas and active in the NPI registry since May 2006. The organization lists Terry Hurt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386694933
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Location Address775 E DOUGLAS STPrairie Grove, AR 72753-2735
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222
Phone(479) 267-5600
Fax(479) 846-5056
Organization SubpartNo
Authorized OfficialTerry HurtCfo · (479) 571-6780
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1386694933 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.

775 E DOUGLAS ST, Prairie Grove, AR 72753
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Other Names 1

Other NameMana Fm Prairie Grove

Other Identifiers 3

Other5B775AR · Ar Blue Cross/blue Shield
Medicaid155659002AR
Other56750AR · Ar Bc/bs

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

Other Providers at the Same Location NPPES 3

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

DR. RON D LEE MD
Family Medicine
775 E DOUGLAS ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-5005
CHRISTIAN G BLANKERS MD
Family Medicine
775 E DOUGLAS ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-5005
TAYLOR DILDAY MD
Family Medicine
775 E DOUGLAS ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-5005

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 Medical Associates Of Northwest Arkansas PA's NPI number?

The NPI number for Medical Associates Of Northwest Arkansas PA is 1386694933. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is also known as MANA FM Prairie Grove.

Where is Medical Associates Of Northwest Arkansas PA located?

Medical Associates Of Northwest Arkansas PA is located at 775 E Douglas St, Prairie Grove, AR 72753. The listed phone number is (479) 267-5600.

What is Medical Associates Of Northwest Arkansas PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Medical Associates Of Northwest Arkansas PA was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.