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BENTON FAMILY CLINIC
NPI 1558330969
Family Medicine in Benton, AR

Active since March 16, 2006CLIA 04D0466134 · Waiver
819 W CARPENTER ST, BENTON, AR 72015(501) 778-8264(501) 778-7360 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2019, Apr 17, 2018 (2 updates tracked since 2018).

About Benton Family Clinic NPPES

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

BENTON FAMILY CLINIC (NPI 1558330969) is a healthcare organization registered as a family medicine in Benton, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Will L Rusher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558330969
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARKANSAS HEALTH GROUP
Location Address819 W CARPENTER STBenton, AR 72015-3349
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 812-7215 · Fax (501) 812-7207
Phone(501) 778-8264
Fax(501) 778-7360
Organization SubpartNo
Authorized OfficialWill L RusherCeo · (501) 812-7500
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 11, 20192 updates tracked since enumeration
✔ NPI 1558330969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
819 W CARPENTER ST, Benton, AR 72015
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Other Names 1

Doing Business AsBenton Family Clinic

Other Identifiers 1

Medicaid128269002AR

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Benton Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Benton Family Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Mark Vice, M.D.
Family Practice
NPI 1134188063
819 W CARPENTER ST
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Cara Ballard, M.D.
Family Practice
NPI 1457310476
819 W CARPENTER ST
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Chrysti Williams, M.D.
Family Practice
NPI 1992764518
819 W CARPENTER ST
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Hannah Baugh
Nurse Practitioner
NPI 1174057376
819 W CARPENTER ST
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Joseph Koon
Internal Medicine
NPI 1922687649
819 W CARPENTER ST
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Mayfield, M.D.
Family Practice
NPI 1184697203
819 WEST CARPENTER STREET
Benton, AR 72015
(501) 778-8264
✔ PECOS✔ Accepts MedicareSame address
Michael Beard, MD
Family Practice
NPI 1316949167
507 W COMMERCE DR SUITE 201
Benton, AR 72022
(501) 847-0082
✔ PECOS✔ Accepts Medicare6.0 mi
Timothy Morse, APN
Nurse Practitioner
NPI 1811130867
319 BRYANT AVE SUITE 1
Bryant, AR 72022
(501) 653-0353
✔ PECOS✔ Accepts Medicare6.4 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 Waiver 04D0466134

Benton Family Clinic · Benton, AR
Active · expires Mar 25, 2028
CLIA Number04D0466134
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorMs. Sharon E. Rhodes
Laboratory Phone(501) 778-8264
Laboratory LocationBenton Family Clinic819 West Carpenter, Benton, AR 72015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Arkansas Health Group's NPI number?

The NPI number for Arkansas Health Group is 1558330969. It was assigned to this organization in the NPPES registry on March 16, 2006. The provider is doing business as Benton Family Clinic.

Where is Arkansas Health Group located?

Arkansas Health Group is located at 819 W Carpenter St, Benton, AR 72015. The listed phone number is (501) 778-8264.

What is Arkansas Health Group's specialty?

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

Is Arkansas Health Group enrolled in Medicare?

Yes. Arkansas Health Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arkansas Health Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Arkansas Health Group. 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 Family Practice (5), Nurse Practitioner (2) and Internal Medicine (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arkansas Health Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0466134) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arkansas Health Group 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 Arkansas Health 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 Arkansas Health Group was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.