PHILLIPS FAMILY HEALTHCARE, LLC
NPI 1629457254
Nurse Practitioner - Family in Marion, AR

Active since May 28, 2015CLIA 04D2097681 · Waiver
2921 HWY 77 S, SUITES 12-13, MARION, AR 72364(901) 438-8451 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillips Family Healthcare, Llc NPPES

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

PHILLIPS FAMILY HEALTHCARE, LLC (NPI 1629457254) is a healthcare organization registered as a family in Marion, Arkansas and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Ted Phillips, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1629457254
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePHILLIPS FAMILY HEALTHCARE, LLC
Location Address2921 HWY 77 S, SUITES 12-13Marion, AR 72364-2367
Mailing Address2921 Hwy 77 S, Suites 12-13Marion, AR 72364-2367 · (901) 438-8451
Organization SubpartNo
Authorized OfficialTed PhillipsOwner/practitioner · (901) 438-8451
Enumeration DateMay 28, 2015
NPI 1629457254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A003572
2921 HWY 77 S, Marion, AR 72364

Other Identifiers 3

Medicaid1043527336AR
Medicare NSC1043527336
Other1043527336Provider's Npi Number

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

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 04D2097681

Phillips Family Healthcare · Marion, AR
Active · expires Jun 21, 2027
CLIA Number04D2097681
Laboratory TypePractitioner Other
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorTeddy W. Phillips
Laboratory Phone(000) 870-5594
Laboratory LocationPhillips Family Healthcare2921 Hwy 77 South Suite 12-13, Marion, AR 72364
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 2

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

Social Worker (Clinical)
2921 HWY 77 S, SUITES 20
MARION, AR 72364
Nurse Practitioner
2921 HWY 77 S, SUITE 20
MARION, AR 72364

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 Phillips Family Healthcare, LLC's NPI number?

The NPI number for Phillips Family Healthcare, LLC is 1629457254. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Phillips Family Healthcare, LLC located?

Phillips Family Healthcare, LLC is located at 2921 Hwy 77 S Suites 12-13, Marion, AR 72364. The listed phone number is (901) 438-8451.

What is Phillips Family Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Phillips Family Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2097681) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phillips Family Healthcare, LLC 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 Phillips Family Healthcare, LLC 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 Phillips Family Healthcare, LLC was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.