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GRAND PRAIRIE WELLNESS CLINIC PLLC
NPI 1679462337
Family Medicine in Stuttgart, AR

Active since June 30, 2025CLIA 04D2328089 · Waiver
310 W 22ND ST, STUTTGART, AR 72160(501) 837-4337(844) 689-3150 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1679462337
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND PRAIRIE WELLNESS CLINIC PLLC
Location Address310 W 22ND STStuttgart, AR 72160-6600
Mailing Address45 Swan B LnStuttgart, AR 72160-5653 · (501) 837-4337
Phone(501) 837-4337
Fax(844) 689-3150
Organization SubpartNo
Authorized OfficialKathryn MorrisOwner · (501) 837-4337
Enumeration DateJune 30, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1679462337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 W 22ND ST, Stuttgart, AR 72160
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Other Names 2

Doing Business AsGrand Prairie Wellness Clinic Pllc
Other NameGrand Prairie Wellness Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, AR
Active · expires Aug 4, 2027
CLIA Number04D2328089
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorKaty M. Morris
Laboratory Phone(870) 673-1504
Laboratory LocationGrand Prairie Wellness Clinic310 W 22nd St, Stuttgart, AR 72160
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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 9 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.