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CLARKSVILLE MEDICAL GROUP, P.A.
NPI 1508918467
Durable Medical Equipment & Medical Supplies in Clarksville, AR

Active since January 18, 2007
601 W MCKENNON ST, CLARKSVILLE, AR 72830(479) 754-8384(479) 754-7141 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Medical Group, P.a. NPPES

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

CLARKSVILLE MEDICAL GROUP, P.A. (NPI 1508918467) is a healthcare organization registered as a durable medical equipment & medical supplies in Clarksville, Arkansas and active in the NPI registry since January 2007. The organization lists Leanna J Perrett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508918467
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCLARKSVILLE MEDICAL GROUP, P.A.
Location Address601 W MCKENNON STClarksville, AR 72830-3523
Mailing AddressPo Box 668Clarksville, AR 72830-0668 · (479) 754-8384 · Fax (479) 754-7141
Phone(479) 754-8384
Fax(479) 754-7141
Organization SubpartNo
Authorized OfficialLeanna J PerrettOffice Manager · (479) 754-8384
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 13, 2008
✔ NPI 1508918467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in AR · MC0283
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
601 W MCKENNON ST, Clarksville, AR 72830
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Other Identifiers 2

Medicare NSC0790780001AR
Other0790780001AR · Durable Medical Equipment

Other Providers at the Same Location NPPES 11

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

SUSAN GATELEY A.P.N.
Nurse Practitioner (Primary Care)
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
JAMES BRIAN COTNER MD
Family Medicine
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
DR. MARY JANELL BURCH M.D.
Family Medicine
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
DR. KIM GRAVES M.D.
Family Medicine
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
JESS E JORDAN APRN
Nurse Practitioner (Family)
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
CLARKSVILLE MEDICAL GROUP, P.A.
Clinical Medical Laboratory
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
CLARKSVILLE MEDICAL GROUP, P.A.
Family Medicine
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384
DR. JOHN C DUNHAM M.D.
Family Medicine
601 W MCKENNON ST
CLARKSVILLE, AR 72830
Johnson County (479) 754-8384

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 Clarksville Medical Group, P.A.'s NPI number?

The NPI number for Clarksville Medical Group, P.A. is 1508918467. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Clarksville Medical Group, P.A. located?

Clarksville Medical Group, P.A. is located at 601 W Mckennon St, Clarksville, AR 72830. The listed phone number is (479) 754-8384.

What is Clarksville Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Clarksville Medical Group, P.A. was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.