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ARKANSAS CHILDREN'S MEDICAL GROUP PLLC
NPI 1396274841
Pediatrics in Little Rock, AR

Active since June 08, 2017
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202(501) 364-2090(501) 364-3929 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2022, Oct 23, 2019, Nov 30, 2017 and 3 more (6 updates tracked since 2017).

About Arkansas Children's Medical Group Pllc NPPES

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

ARKANSAS CHILDREN'S MEDICAL GROUP PLLC (NPI 1396274841) is a healthcare organization registered as a pediatrics in Little Rock, Arkansas and active in the NPI registry since June 2017. The organization maintains 3 additional practice locations and lists Robert S Williams, President, as its authorized official.

NPPES Registry Identity

NPI1396274841
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameARKANSAS CHILDREN'S MEDICAL GROUP PLLC
Location Address1 CHILDRENS WAY # 844Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 844Little Rock, AR 72202-3500 · (501) 364-2090 · Fax (501) 364-3929
Phone(501) 364-2090
Fax(501) 364-3929
Organization SubpartNo
Authorized OfficialRobert S WilliamsPresident · (501) 364-2090
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 7, 20226 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1396274841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X
1 CHILDRENS WAY # 844, Little Rock, AR 72202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6801
Location 21500 W 42nd AvePine Bluff, AR 71603-7018 · Phone (870) 341-5820
Location 3900 S 52nd StRogers, AR 72758-8637 · Phone (479) 254-1100

Other Identifiers 2

Medicaid222588002AR
Other5E311AR · Blue Cross And Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arkansas Children's Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Arkansas Children's Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Pediatric Medicine21
Nurse Practitioner6
Emergency Medicine4
Urology4
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 36
Stephen Canon, M.D.
Urology
NPI 1033277108
1 CHILDRENS WAY # 653
Little Rock, AR 72202
(501) 364-1100
✔ PECOS✔ Accepts MedicareSame address
Joana Mack, M.D.
Pediatric Medicine
NPI 1497011415
1 CHILDRENS WAY # 123
Little Rock, AR 72202
(501) 364-2270
✔ PECOS✔ Accepts MedicareSame address
Peyton Mills, APN
Nurse Practitioner
NPI 1881948529
1 CHILDRENS WAY # 512-5
Little Rock, AR 72202
(501) 364-1028
✔ PECOSSame address
Alexa Bollinger, MD
Pediatric Medicine
NPI 1194145599
1 CHILDRENS WAY
Little Rock, AR 72202
(501) 364-1050
✔ PECOS3.4 mi
Sally Puckett, APRN
Certified Clinical Nurse Specialist (CNS)
NPI 1225408057
1 CHILDRENS WAY
Little Rock, AR 72202
(501) 364-1977
✔ PECOS3.4 mi
Ashay Patel, D.O.
Urology
NPI 1740496686
1 CHILDRENS WAY # 840
Little Rock, AR 72202
(501) 364-1100
✔ PECOS3.4 mi
Ismael Zamilpa, MD
Urology
NPI 1891718060
1 CHILDRENS WAY # 840
Little Rock, AR 72202
(501) 364-1100
✔ PECOS3.4 mi
Ruthie Su, MD
Urology
NPI 1952544793
1 CHILDRENS WAY
Little Rock, AR 72202
(501) 364-2090
✔ PECOS3.4 mi
Jennifer Ferry, DO
Pediatric Medicine
NPI 1255837241
9015 DAILEY DR
Little Rock, AR 72209
(501) 550-8645
✔ PECOS8.2 mi
Michelle Phillips, MD
Pediatric Medicine
NPI 1629599287
3150 E HERITAGE PKWY
Farmington, AR 72730
(479) 400-1140
✔ PECOS145 mi
Holli Bagwell, D.O.
Emergency Medicine
NPI 1639346240
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6977
✔ PECOS148 mi
Christina Dalton, D.O.
Pediatric Medicine
NPI 1831350339
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6801
✔ PECOS148 mi
Gregory Dupuis, MD
Emergency Medicine
NPI 1588739783
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6977
✔ PECOS✔ Accepts Medicare148 mi
Lyndsay Fisher, DO
Pediatric Medicine
NPI 1629539606
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6801
✔ PECOS148 mi
Taira Garrett, CNP
Nurse Practitioner
NPI 1891324216
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6801
✔ PECOS148 mi
Sarah Guntorius, APRN-CNP
Nurse Practitioner
NPI 1386089712
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6977
✔ PECOS148 mi
Amanda Hollingsworth, MD
Pediatric Medicine
NPI 1881809184
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6801
✔ PECOS✔ Accepts Medicare148 mi
Megan Merrigan, PNP
Nurse Practitioner
NPI 1134403884
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6880
✔ PECOS148 mi
Amanda Quick, APRN-CNP
Nurse Practitioner
NPI 1831602135
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6997
✔ PECOS148 mi
Lydia Washer, M.D.
Emergency Medicine
NPI 1568753903
2601 GENE GEORGE BLVD
Springdale, AR 72762
(479) 725-6977
✔ PECOS148 mi
See all 36 clinicians

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 Arkansas Children's Medical Group PLLC's NPI number?

The NPI number for Arkansas Children's Medical Group PLLC is 1396274841. It was assigned to this organization in the NPPES registry on June 8, 2017.

Where is Arkansas Children's Medical Group PLLC located?

Arkansas Children's Medical Group PLLC is located at 1 Childrens Way # 844, Little Rock, AR 72202. The listed phone number is (501) 364-2090.

What is Arkansas Children's Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Arkansas Children's Medical Group PLLC enrolled in Medicare?

Yes. Arkansas Children's Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arkansas Children's Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Arkansas Children's Medical Group 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. The largest specialties are Pediatric Medicine (21), Nurse Practitioner (6) and Emergency Medicine (4). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arkansas Children's Medical Group PLLC was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.