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HUNTSVILLE MEDICAL CLINIC, LLC
NPI 1457226706
Family Medicine in Huntsville, AR

Active since October 07, 2025CLIA 04D1068190 · Certificate of Compliance
705 PHILLIPS PL, PO BOX 860, HUNTSVILLE, AR 72740(479) 738-1700(479) 738-5510 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 26, 2025, Oct 7, 2025 (2 updates tracked since 2025).

About Huntsville Medical Clinic, Llc NPPES

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

HUNTSVILLE MEDICAL CLINIC, LLC (NPI 1457226706) is a healthcare organization registered as a family medicine in Huntsville, Arkansas and active in the NPI registry since October 2025. The organization holds a CLIA Certificate of Compliance certificate valid through March 7, 2028 and lists Gina Dickey, Manager, as its authorized official.

NPPES Registry Identity

NPI1457226706
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHUNTSVILLE MEDICAL CLINIC, LLC
Location Address705 PHILLIPS PL, PO BOX 860Huntsville, AR 72740
Mailing AddressPo Box 860Huntsville, AR 72740-0860 · (479) 738-1700 · Fax (479) 738-5510
Phone(479) 738-1700
Fax(479) 738-5510
Organization SubpartNo
Authorized OfficialGina DickeyManager · (479) 738-1700
Enumeration DateOctober 7, 2025
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1457226706 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
705 PHILLIPS PL, Huntsville, AR 72740
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Huntsville Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Huntsville Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Thomas Embry, MD
Family Practice
NPI 1427105667
705 PHILLIPS PL
Huntsville, AR 72740
(479) 738-1700
✔ PECOS✔ Accepts MedicareSame address
David Storm, APRN
Nurse Practitioner
NPI 1841767118
705 PHILLIPS PL
Huntsville, AR 72740
(479) 738-1700
✔ PECOS✔ Accepts MedicareSame address
Gina Dickey, APN
Nurse Practitioner
NPI 1295056687
705 PHILLIPS PLACE
Huntsville, AR 72740
(479) 738-1700
✔ PECOS✔ Accepts MedicareSame address
John Kendrick, MD
General Surgery
NPI 1902812019
4704 TROUT FARM RD
Springdale, AR 72762
(479) 738-1700
✔ PECOS✔ Accepts Medicare24 mi

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 04D1068190

Huntsville Medical Clinic LLC · Huntsville, AR
Active · expires Mar 7, 2028
CLIA Number04D1068190
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorTom Whiting
Laboratory Phone(479) 738-1700
Laboratory LocationHuntsville Medical Clinic LLC705 Phillips Place, Huntsville, AR 72740
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 Huntsville Medical Clinic, LLC's NPI number?

The NPI number for Huntsville Medical Clinic, LLC is 1457226706. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Huntsville Medical Clinic, LLC located?

Huntsville Medical Clinic, LLC is located at 705 Phillips Pl PO Box 860, Huntsville, AR 72740. The listed phone number is (479) 738-1700.

What is Huntsville Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Huntsville Medical Clinic, LLC enrolled in Medicare?

Yes. Huntsville Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Huntsville Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Huntsville Medical Clinic, LLC, in Family Practice, General Surgery and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Huntsville Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D1068190) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Huntsville Medical Clinic, LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.