PREMIER PEDIATRICS PLLC
NPI 1588121065
Pediatrics - Adolescent Medicine in Fort Smith, AR

Q: What is Premier Pediatrics PLLC's NPI number?

The NPI number for Premier Pediatrics PLLC is 1588121065. It was assigned to this organization in the NPPES registry on February 21, 2019.

Q: What is Premier Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since February 21, 2019CLIA 04D2166063 · Waiver

5901 RILEY PARK DRIVE, SUITE B, FORT SMITH, AR 72916(479) 763-3050(479) 763-3281 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 2, 2019, Feb 21, 2019 (2 updates tracked since 2019).

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About Premier Pediatrics Pllc NPPES

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

PREMIER PEDIATRICS PLLC (NPI 1588121065) is a healthcare organization registered as an adolescent medicine in Fort Smith, Arkansas and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Staci Pollard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1588121065

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NamePREMIER PEDIATRICS PLLC

Location Address5901 RILEY PARK DRIVE, SUITE BFort Smith, AR 72916

Mailing Address5901 Riley Park Drive, Suite BFort Smith, AR 72916-9340 · (479) 763-3050 · Fax (479) 763-3281

Phone(479) 763-3050

Fax(479) 763-3281

Organization SubpartNo

Authorized OfficialStaci PollardOffice Manager · (479) 763-3050

Enumeration DateFebruary 21, 2019

Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration

✔ NPI 1588121065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

5901 RILEY PARK DRIVE, Fort Smith, AR 72916

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Other Identifiers 1

OtherE-6232AR · Arkansas Medical License

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 Waiver 04D2166063

Premier Pediatrics · Fort Smith, AR

Active · expires May 9, 2027

CLIA Number04D2166063

Laboratory TypePhysician Office

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorDr. Joshua R. Wilkinson

Laboratory Phone(479) 831-2090

Laboratory LocationPremier Pediatrics5901 Riley Park Dr, Suite B, Fort Smith, AR 72916

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOSHUA R WILKINSON MD

Pediatrics (Adolescent Medicine)

5901 RILEY PARK DRIVE, SUITE B
FORT SMITH, AR 72916

Sebastian County (479) 763-3050

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 Premier Pediatrics PLLC's NPI number?

The NPI number for Premier Pediatrics PLLC is 1588121065. It was assigned to this organization in the NPPES registry on February 21, 2019.

Where is Premier Pediatrics PLLC located?

Premier Pediatrics PLLC is located at 5901 Riley Park Drive Suite B, Fort Smith, AR 72916. The listed phone number is (479) 763-3050.

What is Premier Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Premier Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2166063) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Pediatrics PLLC 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 Premier Pediatrics PLLC 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 Premier Pediatrics PLLC was last updated on July 2, 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.