CLARKSVILLE MEDICAL GROUP, P.A.
NPI 1447253810
Family Medicine in Clarksville, AR
NPI Status: Active since May 31, 2005
Contact Information
601 W MCKENNON ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-8384
Fax: (479) 754-7141
- Organization
- Family Medicine
- CLIA Number: 04D0469031
- CLIA Cert. Type: Compliance
- CLIA Exp. Date: 12-09-2025
About CLARKSVILLE MEDICAL GROUP, P.A.
Clarksville Medical Group, P.a. is a primary care provider established in Clarksville, Arkansas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1447253810 assigned on May 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MC-0283 (AR). The provider is registered as an organization and their NPI record was last updated 14 years ago. Clarksville Medical Group, P.a. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Leanna J Perrett (Office Manager)
- NPI
- 1447253810
- Provider Name
- CLARKSVILLE MEDICAL GROUP, P.A.
- Entity Type
- Organization
- Location Address
- 601 W MCKENNON ST CLARKSVILLE, AR 72830
- Location Phone
- (479) 754-8384
- Location Fax
- (479) 754-7141
- Mailing Address
- PO BOX 668 CLARKSVILLE, AR 72830
- Mailing Phone
- (479) 754-8384
- Mailing Fax
- (479) 754-7141
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 07-06-2010
- Code Navigator
A primary care provider (PCP) like Clarksville Medical Group, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MC-0283
- License State
- AR
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arkansas Health & Wellness
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
Ambetter from Home State Health
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
Ambetter from Louisiana Healthcare Connections
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter from Magnolia Health
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA with Walgreens - HMO
- Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
Ambetter from Superior HealthPlan
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
Ambetter of Oklahoma
- Clear Gold - PPO
- Clear Gold + Vision + Adult Dental - PPO
- Clear Silver - PPO
- Clear Silver + Vision + Adult Dental - PPO
- Complete Silver - PPO
Ambetter of Tennessee
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Blue Cross Blue Shield
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56716 | OTHER (01) | AR | BLUE CROSS BLUE SHEILD |
| 56716 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR | |
| 0790780001 | MEDICARE NSC (07) | AR | |
| 103094002 | MEDICAID (05) | AR | |
| W68706001 | MEDICARE UPIN (02) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D0469031
- Facility Type
- Physician Office
- Certificate Effective Date
- December 10, 2023
- Certificate Expiration Date
- December 09, 2025
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Clarksville Medical Group, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for CLARKSVILLE MEDICAL GROUP, P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 2 | 5 | 3 | 8 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 4 | 5 | 6 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 4 + 5 + 6 + 8 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1447253810 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245200971 | DR. KIM GRAVES M.D. Individual | Family Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1083684740 | SUSAN GATELEY A.P.N. Individual | Nurse Practitioner (Primary Care) | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1770553448 | DR. LINDSEY J PREWITT M.D. Individual | Internal Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1487624896 | DR. JOHN C DUNHAM M.D. Individual | Family Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1174593446 | DR. MARY JANELL BURCH M.D. Individual | Family Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1164482162 | JAMES BRIAN COTNER MD Individual | Family Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1578663696 | DR. SARAH M WOODRUFF MD Individual | Family Medicine | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1508918467 | CLARKSVILLE MEDICAL GROUP, P.A. Organization | Durable Medical Equipment & Medical Supplies | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1417009374 | CLARKSVILLE MEDICAL GROUP, P.A. Organization | Clinical Medical Laboratory | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
| 1891375838 | KAYLA METZ APRN-CNP Individual | Nurse Practitioner | 601 W MCKENNON ST CLARKSVILLE, AR 72830 (479) 754-8384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447253810, enumerated in the NPI registry as an "organization" on May 31, 2005
The provider is located at 601 W Mckennon St Clarksville, Ar 72830 and the phone number is (479) 754-8384
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D0469031 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 31, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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