NEA BAPTIST CLINIC DIALYSIS CENTER
NPI 1447581673
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jonesboro, AR

Q: What is Northeast Arkansas Clinic Charitable Foundation, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since January 28, 2010CLIA 04D1047200 · Waiver

3005 MIDDLEFIELD DR, JONESBORO, AR 72401(870) 934-5102(870) 932-3608 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nea Baptist Clinic Dialysis Center NPPES

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

NEA BAPTIST CLINIC DIALYSIS CENTER (NPI 1447581673) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jonesboro, Arkansas and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Gregory M Duckett, Sr Vp/ Clo, as its authorized official.

NPPES Registry Identity

NPI1447581673

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC

Location Address3005 MIDDLEFIELD DRJonesboro, AR 72401-7438

Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177

Phone(870) 934-5102

Fax(870) 932-3608

Organization SubpartYesParent: Baptist Memorial Health Care Corp.

Authorized OfficialGregory M DuckettSr Vp/ Clo · (901) 227-5233

Enumeration DateJanuary 28, 2010

Last NPPES UpdateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1447581673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

3005 MIDDLEFIELD DR, Jonesboro, AR 72401

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Other Names 1

Doing Business AsNea Baptist Clinic Dialysis Center

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 Waiver 04D1047200

Nea Baptist Clinic Dialysis Center · Jonesboro, AR

Active · expires Oct 27, 2027

CLIA Number04D1047200

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateOctober 28, 2025

Certificate Expiration DateOctober 27, 2027

Laboratory DirectorJoyce C. Chastain

Laboratory Phone(870) 934-5705

Laboratory LocationNea Baptist Clinic Dialysis Center3005 Middlefield, Jonesboro, AR 72401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST ARKANSAS CLINIC, P.A.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3005 MIDDLEFIELD DR
JONESBORO, AR 72401

Craighead County (870) 934-5705

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 Northeast Arkansas Clinic Charitable Foundation, Inc's NPI number?

The NPI number for Northeast Arkansas Clinic Charitable Foundation, Inc is 1447581673. It was assigned to this organization in the NPPES registry on January 28, 2010. The provider is doing business as Nea Baptist Clinic Dialysis Center.

Where is Northeast Arkansas Clinic Charitable Foundation, Inc located?

Northeast Arkansas Clinic Charitable Foundation, Inc is located at 3005 Middlefield Dr, Jonesboro, AR 72401. The listed phone number is (870) 934-5102.

What is Northeast Arkansas Clinic Charitable Foundation, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Northeast Arkansas Clinic Charitable Foundation, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1047200) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Arkansas Clinic Charitable Foundation, Inc 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 5 other insurers list Northeast Arkansas Clinic Charitable Foundation, Inc 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 Northeast Arkansas Clinic Charitable Foundation, Inc was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.