FAMILY MEDICAL CENTER
NPI 1528052107
Clinic/Center - Rural Health in Walnut Ridge, AR
About Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CENTER (NPI 1528052107) is a healthcare organization registered as a rural health in Walnut Ridge, Arkansas and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Vanessa K Wagner, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Family Medical Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
Jonesboro, AR 72401
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 Waiver 04D0691080
Family Medical Center Lawrence Memorial Health Foundation, Inc · Walnut Ridge, ARFrequently 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 Lawrence Memorial Health Foundation Inc.'s NPI number?
The NPI number for Lawrence Memorial Health Foundation Inc. is 1528052107. It was assigned to this organization in the NPPES registry on September 9, 2005. The provider is doing business as Family Medical Center.
Where is Lawrence Memorial Health Foundation Inc. located?
Lawrence Memorial Health Foundation Inc. is located at 1309 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-3211.
What is Lawrence Memorial Health Foundation Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Lawrence Memorial Health Foundation Inc. enrolled in Medicare?
Yes. Lawrence Memorial Health Foundation Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lawrence Memorial Health Foundation Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Lawrence Memorial Health Foundation Inc.. 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. The largest specialties are Internal Medicine (8), Nurse Practitioner (3) and Emergency Medicine (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lawrence Memorial Health Foundation Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0691080) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lawrence Memorial Health Foundation Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lawrence Memorial Health 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 Lawrence Memorial Health Foundation Inc. was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Family Medical Center · NPI 1528052107
Rural Health organization in Walnut Ridge, Arkansas. Organization record, active in the CMS NPPES registry since September 9, 2005.
## Identity
- **NPI:** 1528052107 (Entity type: Organization)
- **Enumerated:** September 9, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Lawrence Memorial Health Foundation Inc.
- **Organization subpart:** No
- **Authorized official:** Vanessa Wagner, CFO
## Practice location
- **Address:** 1309 W MAIN ST, Walnut Ridge, AR 72476-1430
- **Phone:** (870) 886-3211 · **Fax:** (870) 886-9027
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (8), Nurse Practitioner (3), Emergency Medicine (2); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2020
- **Other identifiers:** Medicaid 234112729 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528052107) · Data from the CMS NPPES public registry.