JACKSONVILLE MEDICAL CARE
NPI 1396996740
Family Medicine in Jacksonville, AR
About Jacksonville Medical Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSONVILLE MEDICAL CARE (NPI 1396996740) is a healthcare organization registered as a family medicine in Jacksonville, Arkansas and active in the NPI registry since October 2008. The organization holds a CLIA Certificate of Compliance certificate valid through November 13, 2028 and lists Gary Drew Jackson, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
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)
Jacksonville Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Jacksonville Medical Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 Compliance 04D0466383
Jacksonville Medical Care Arkansas Central Primary Care PLLC · Jacksonville, ARFrequently 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 Central Primary Care, PLLC's NPI number?
The NPI number for Arkansas Central Primary Care, PLLC is 1396996740. It was assigned to this organization in the NPPES registry on October 3, 2008. The provider is doing business as Jacksonville Medical Care.
Where is Arkansas Central Primary Care, PLLC located?
Arkansas Central Primary Care, PLLC is located at 1300 Braden St., Jacksonville, AR 72076. The listed phone number is (501) 985-5900.
What is Arkansas Central Primary Care, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Arkansas Central Primary Care, PLLC enrolled in Medicare?
Yes. Arkansas Central Primary Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arkansas Central Primary Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Arkansas Central Primary Care, 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 Family Practice (10) and Nurse Practitioner (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arkansas Central Primary Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0466383) is associated with this NPI, valid through November 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Arkansas Central Primary Care, 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 Arkansas Central Primary Care, 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 Arkansas Central Primary Care, PLLC was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jacksonville Medical Care · NPI 1396996740
Family Medicine organization in Jacksonville, Arkansas. Organization record, active in the CMS NPPES registry since October 3, 2008.
## Identity
- **NPI:** 1396996740 (Entity type: Organization)
- **Enumerated:** October 3, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Arkansas Central Primary Care, Pllc
- **Organization subpart:** No
- **Authorized official:** Gary Jackson, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 1300 BRADEN ST., Jacksonville, AR 72076-3719
- **Phone:** (501) 985-5900 · **Fax:** (501) 985-6016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), Nurse Practitioner (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2011
- **Other identifiers:** Medicare NSC 6409350001 (AR); Medicare PIN 5G152 (AR); Medicaid 142734002 (AR); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396996740) · Data from the CMS NPPES public registry.