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LITTLE ROCK PEDIATRIC CLINIC
NPI 1457396780
Pediatrics in Little Rock, AR

Active since June 19, 2006CLIA 04D0703618 · Certificate of Compliance
500 S UNIVERSITY AVE STE 615, LITTLE ROCK, AR 72205(501) 664-4044(501) 664-4064 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Little Rock Pediatric Clinic NPPES

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

LITTLE ROCK PEDIATRIC CLINIC (NPI 1457396780) is a healthcare organization registered as a pediatrics in Little Rock, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2028 and lists Jo Lynne Varner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457396780
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLITTLE ROCK PEDIATRIC GROUP
Location Address500 S UNIVERSITY AVE STE 615Little Rock, AR 72205-5308
Mailing Address500 S University Ave Ste 615Little Rock, AR 72205-5308 · (501) 664-4044 · Fax (501) 664-4064
Phone(501) 664-4044
Fax(501) 664-4064
Organization SubpartNo
Authorized OfficialJo Lynne VarnerAdministrator · (501) 664-4044
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1457396780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 S UNIVERSITY AVE STE 615, Little Rock, AR 72205
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Other Names 1

Doing Business AsLittle Rock Pediatric Clinic

Other Identifiers 1

Medicaid145428002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 04D0703618

Little Rock Pediatric Clinic · Little Rock, AR
Active · expires Jan 24, 2028
CLIA Number04D0703618
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Natalie R. Burr
Laboratory Phone(501) 664-4044
Laboratory LocationLittle Rock Pediatric Clinic500 South University, Suite 615, Little Rock, AR 72205
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 5

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

KELSEY BRADBURY KEITH MD
Pediatrics
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4044
JENNIFER ELLEN MURPHREE APN
Nurse Practitioner (Pediatrics)
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4044
MRS. KIMBRA MICHELLE BROOKS MS, RD, LD, CDE
Dietitian, Registered
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 666-3666
DR. CATHERINE O ROBBEN M.D.
Pediatrics
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4044
MRS. RUTH SUZANNE CLEMMONS PA-C
Physician Assistant
500 S UNIVERSITY AVE STE 615
LITTLE ROCK, AR 72205
Pulaski County (501) 666-3666

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 Little Rock Pediatric Group's NPI number?

The NPI number for Little Rock Pediatric Group is 1457396780. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Little Rock Pediatric Clinic.

Where is Little Rock Pediatric Group located?

Little Rock Pediatric Group is located at 500 S University Ave Ste 615, Little Rock, AR 72205. The listed phone number is (501) 664-4044.

What is Little Rock Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Little Rock Pediatric Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0703618) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Rock Pediatric Group 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 Little Rock Pediatric Group 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 Little Rock Pediatric Group was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.