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PEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC
NPI 1407966005
Clinic/Center in West Memphis, AR

Active since August 30, 2006
108 W TYLER, WEST MEMPHIS, AR 72301(870) 732-1191(870) 732-4091 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Mar 14, 2016 (2 updates tracked since 2016).

About Pediatric Associates Of West Memphis, Plc NPPES

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

PEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC (NPI 1407966005) is a healthcare organization registered as a clinic/center in West Memphis, Arkansas and active in the NPI registry since August 2006. The organization lists Judy Catt, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1407966005
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePEDIATRIC ASSOCIATES OF WEST MEMPHIS, PLC
Location Address108 W TYLERWest Memphis, AR 72301-4221
Mailing Address108 W TylerWest Memphis, AR 72301-4221 · (870) 732-1191 · Fax (870) 732-4091
Phone(870) 732-1191
Fax(870) 732-4091
Organization SubpartNo
Authorized OfficialJudy CattPractice Manager · (870) 732-1191
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1407966005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
108 W TYLER, West Memphis, AR 72301
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Other Identifiers 1

Medicaid152363002AR

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 04D0467679

Pediatric Associates Of West Memphis · West Memphis, AR
Expired · Jul 30, 2026
CLIA Number04D0467679
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorDr. Johanna Mallare
Laboratory Phone(870) 732-1191
Laboratory LocationPediatric Associates Of West Memphis108 West Tyler, West Memphis, AR 72301
CLIA data matches this NPI record on: Address Name Phone
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 Pediatric Associates Of West Memphis, Plc's NPI number?

The NPI number for Pediatric Associates Of West Memphis, Plc is 1407966005. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Pediatric Associates Of West Memphis, Plc located?

Pediatric Associates Of West Memphis, Plc is located at 108 W Tyler, West Memphis, AR 72301. The listed phone number is (870) 732-1191.

What is Pediatric Associates Of West Memphis, Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Pediatric Associates Of West Memphis, Plc 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 Pediatric Associates Of West Memphis, Plc 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 Pediatric Associates Of West Memphis, Plc was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.