JIMMERSON FAMILY HEALTH CARE P.A.
NPI 1649496357
Family Medicine in Little Rock, AR
About Jimmerson Family Health Care P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMMERSON FAMILY HEALTH CARE P.A. (NPI 1649496357) is a healthcare organization registered as a family medicine in Little Rock, Arkansas and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through April 28, 2028 and lists Robert Tyray Jimmerson, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 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)
Jimmerson Family Health Care P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jimmerson Family Health Care P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 04D2342917
Jimmerson Family Healthcare 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 Jimmerson Family Health Care P.A.'s NPI number?
The NPI number for Jimmerson Family Health Care P.A. is 1649496357. It was assigned to this organization in the NPPES registry on April 18, 2007.
Where is Jimmerson Family Health Care P.A. located?
Jimmerson Family Health Care P.A. is located at 6917 Geyer Springs Rd Suite 4S, Little Rock, AR 72209. The listed phone number is (501) 569-9961.
What is Jimmerson Family Health Care P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jimmerson Family Health Care P.A. enrolled in Medicare?
Yes. Jimmerson Family Health Care P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jimmerson Family Health Care P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jimmerson Family Health Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jimmerson Family Health Care P.A. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2342917) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jimmerson Family Health Care 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 Jimmerson Family Health Care 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 Jimmerson Family Health Care P.A. was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jimmerson Family Health Care P.a. · NPI 1649496357
Family Medicine organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1649496357 (Entity type: Organization)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Jimmerson, PHYSICIAN
## Practice location
- **Address:** 6917 GEYER SPRINGS RD, SUITE 4S, Little Rock, AR 72209-2727
- **Phone:** (501) 569-9961 · **Fax:** (501) 569-9903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2008
- **Other identifiers:** Medicaid 135241001 (AR); Medicare PIN 5K890 (AR); Other 2451550; and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649496357) · Data from the CMS NPPES public registry.