FORREST CITY FAMILY PRACTICE CLINIC, PA
NPI 1649396979
Family Medicine - Adult Medicine in Forrest City, AR

Active since March 21, 2007CLIA 04D0869754 · Microscopy
902 HOLIDAY DR, SUITE 101, FORREST CITY, AR 72335(870) 630-1256 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Forrest City Family Practice Clinic, Pa NPPES

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

FORREST CITY FAMILY PRACTICE CLINIC, PA (NPI 1649396979) is a healthcare organization registered as an adult medicine in Forrest City, Arkansas and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through October 15, 2027 and lists Neida Byrd, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1649396979
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameFORREST CITY FAMILY PRACTICE CLINIC, PA
Location Address902 HOLIDAY DR, SUITE 101Forrest City, AR 72335-9183
Mailing Address902 Holiday Dr, Suite 101Forrest City, AR 72335-9183 · (870) 630-1256
Organization SubpartNo
Authorized OfficialNeida ByrdBilling Manager · (901) 737-3071
Enumeration DateMarch 21, 2007
Last NPPES UpdateDecember 1, 2011
NPI 1649396979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in AR · R3762
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License R3762 (AR)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License R3762 (AR)
902 HOLIDAY DR, Forrest City, AR 72335

Other Identifiers 6

Medicare ID-Type UnspecifiedR3762AR · Medicare Group
Other51280AR · Bcbs Indv Number
Medicaid113530001AR
OtherR3762AR · Bcbs Group Id
Medicare ID-Type Unspecified51280AR · Medicare Indv
Medicare UPINDO4484

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 MULTIPLE 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 for Provider-Performed Microscopy Procedures (PPMP) 04D0869754

Forrest City Family Practice Clinic PA · Forrest City, AR
Active · expires Oct 15, 2027
CLIA Number04D0869754
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. George L. Conner
Laboratory Phone(870) 630-1256
Laboratory LocationForrest City Family Practice Clinic PA902 Holiday Dr, Suite 101, Forrest City, AR 72335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

Family Medicine
902 HOLIDAY DR, STE 101
FORREST CITY, AR 72335
Internal Medicine
902 HOLIDAY DR
FORREST CITY, AR 72335
Obstetrics & Gynecology
902 HOLIDAY DR, SUITE 102
FORREST CITY, AR 72335
Nurse Practitioner
902 HOLIDAY DR, SUITE 102
FORREST CITY, AR 72335
Internal Medicine
902 HOLIDAY DR, SUITE 103
FORREST CITY, AR 72335
Specialist
902 HOLIDAY DR, SUITE 102
FORREST CITY, AR 72335

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 Forrest City Family Practice Clinic, PA's NPI number?

The NPI number for Forrest City Family Practice Clinic, PA is 1649396979. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Forrest City Family Practice Clinic, PA located?

Forrest City Family Practice Clinic, PA is located at 902 Holiday Dr Suite 101, Forrest City, AR 72335. The listed phone number is (870) 630-1256.

What is Forrest City Family Practice Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Forrest City Family Practice Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0869754) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forrest City Family Practice Clinic, PA 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 Forrest City Family Practice Clinic, PA 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 Forrest City Family Practice Clinic, PA was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.