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TRACY FAMILY PRACTICE CLINIC PA
NPI 1659319150
Preferred Provider Organization in De Witt, AR

Active since June 04, 2006
1940 S WHITEHEAD DR, DE WITT, AR 72042(870) 946-4505(870) 946-2428 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Family Practice Clinic Pa NPPES

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

TRACY FAMILY PRACTICE CLINIC PA (NPI 1659319150) is a healthcare organization registered as a preferred provider organization in De Witt, Arkansas and active in the NPI registry since June 2006. The organization lists Wallace Lee Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1659319150
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTRACY FAMILY PRACTICE CLINIC PA
Location Address1940 S WHITEHEAD DRDe Witt, AR 72042-2906
Mailing Address1940 S Whitehead DrDe Witt, AR 72042-2906 · (870) 946-4505 · Fax (870) 946-2428
Phone(870) 946-4505
Fax(870) 946-2428
Organization SubpartNo
Authorized OfficialWallace Lee TracyOwner · (870) 946-4505
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1659319150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AR · C7340
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1940 S WHITEHEAD DR, De Witt, AR 72042
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Other Identifiers 3

Medicare ID-Type Unspecified117726002AR
Medicare UPINE02920AR
Medicare ID-Type Unspecified50594AR

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 ›

Other Providers at the Same Location NPPES 4

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

MID-DELTA HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
LAURA ANN HANNUM APRN
Nurse Practitioner (Family)
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
DR. WALLACE LEE TRACY M.D.
Family Medicine
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
MRS. LORI ANN WILSON LPC
Counselor (Professional)
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505

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 Tracy Family Practice Clinic PA's NPI number?

The NPI number for Tracy Family Practice Clinic PA is 1659319150. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Tracy Family Practice Clinic PA located?

Tracy Family Practice Clinic PA is located at 1940 S Whitehead Dr, De Witt, AR 72042. The listed phone number is (870) 946-4505.

What is Tracy Family Practice Clinic PA's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Tracy 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 Tracy 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 Tracy Family Practice Clinic PA was last updated on September 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.