GRAND PRAIRIE WELLNESS CLINIC PLLC
NPI 1679462337
Family Medicine in Stuttgart, AR
About Grand Prairie Wellness Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND PRAIRIE WELLNESS CLINIC PLLC (NPI 1679462337) is a healthcare organization registered as a family medicine in Stuttgart, Arkansas and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Kathryn Morris, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Prairie Wellness Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Grand Prairie Wellness Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Waiver 04D2328089
Grand Prairie Wellness Clinic · Stuttgart, 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 Grand Prairie Wellness Clinic PLLC's NPI number?
The NPI number for Grand Prairie Wellness Clinic PLLC is 1679462337. It was assigned to this organization in the NPPES registry on June 30, 2025. The provider is also known as Grand Prairie Wellness Clinic.
Where is Grand Prairie Wellness Clinic PLLC located?
Grand Prairie Wellness Clinic PLLC is located at 310 W 22nd St, Stuttgart, AR 72160. The listed phone number is (501) 837-4337.
What is Grand Prairie Wellness Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grand Prairie Wellness Clinic PLLC enrolled in Medicare?
Yes. Grand Prairie Wellness Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Prairie Wellness Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grand Prairie Wellness Clinic PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grand Prairie Wellness Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2328089) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Grand Prairie Wellness Clinic PLLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Grand Prairie Wellness Clinic Pllc · NPI 1679462337
Family Medicine organization in Stuttgart, Arkansas. Organization record, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1679462337 (Entity type: Organization)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Grand Prairie Wellness Clinic PLLC (Doing Business As); Grand Prairie Wellness Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kathryn Morris, OWNER
## Practice location
- **Address:** 310 W 22ND ST, Stuttgart, AR 72160-6600
- **Phone:** (501) 837-4337 · **Fax:** (844) 689-3150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679462337) · Data from the CMS NPPES public registry.