AUTUMN ROAD FAMILY PRACTICE, P.A,
NPI 1629027818
Clinic/Center in Little Rock, AR
About Autumn Road Family Practice, P.a, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN ROAD FAMILY PRACTICE, P.A, (NPI 1629027818) is a healthcare organization registered as a clinic/center in Little Rock, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 13, 2027 and lists Dawn Drennan, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Autumn Road Family Practice, P.a, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Autumn Road Family Practice, P.A,, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 Compliance 04D0467303
Autumn Road Family Practice, PA · Little Rock, 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 Autumn Road Family Practice, P.A,'s NPI number?
The NPI number for Autumn Road Family Practice, P.A, is 1629027818. It was assigned to this organization in the NPPES registry on May 8, 2006.
Where is Autumn Road Family Practice, P.A, located?
Autumn Road Family Practice, P.A, is located at 904 Autumn Rd Suite 200, Little Rock, AR 72211. The listed phone number is (501) 227-6363.
What is Autumn Road Family Practice, P.A,'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Autumn Road Family Practice, P.A, enrolled in Medicare?
Yes. Autumn Road Family Practice, P.A, is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Autumn Road Family Practice, P.A,?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Autumn Road Family Practice, P.A,. 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 (3), Nurse Practitioner (3) and Pediatric Medicine (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Autumn Road Family Practice, P.A, hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0467303) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Autumn Road Family Practice, P.A, 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 Autumn Road Family Practice, P.A, 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 Autumn Road Family Practice, P.A, was last updated on May 31, 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.
# Autumn Road Family Practice, P.a, · NPI 1629027818
Clinic/Center organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1629027818 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Dawn Drennan, ADMINISTRATOR
## Practice location
- **Address:** 904 AUTUMN RD, SUITE 200, Little Rock, AR 72211-3737
- **Phone:** (501) 227-6363 · **Fax:** (501) 227-8629
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (3), Pediatric Medicine (1); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2022
- **Other identifiers:** Medicaid 111026102 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629027818) · Data from the CMS NPPES public registry.