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JACKSONVILLE MEDICAL CARE
NPI 1396996740
Family Medicine in Jacksonville, AR

Active since October 03, 2008CLIA 04D0466383 · Certificate of Compliance
1300 BRADEN ST., JACKSONVILLE, AR 72076(501) 985-5900(501) 985-6016 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, 2026 and lists Gary Drew Jackson, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1396996740
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARKANSAS CENTRAL PRIMARY CARE, PLLC
Location Address1300 BRADEN ST.Jacksonville, AR 72076-3719
Mailing AddressPo Box 309Jacksonville, AR 72078-0309 · (501) 985-5900 · Fax (501) 985-6016
Phone(501) 985-5900
Fax(501) 985-6016
Organization SubpartNo
Authorized OfficialGary Drew JacksonClinic Administrator · (501) 985-5994
Enumeration DateOctober 3, 2008
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1396996740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X
1300 BRADEN ST., Jacksonville, AR 72076
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Other Names 1

Doing Business AsJacksonville Medical Care

Other Identifiers 4

Medicare NSC6409350001AR
Medicare PIN5G152AR
Medicaid142734002AR
Medicaid176116002AR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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, AR
Active · expires Nov 13, 2026
CLIA Number04D0466383
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorMs. Amy S. Thiele
Laboratory Phone(501) 985-5933
Laboratory LocationJacksonville Medical Care Arkansas Central Primary Care PLLC1300 Braden Street, Jacksonville, AR 72076
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 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.

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, 2026. 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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers 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.