1. Home
  2. Directory
  3. Arkansas
  4. Wynne
  5. Family Medicine
  6. NPI Profile

WYNNE PHYSICIANS CLINIC LLC
NPI 1710517677
Family Medicine in Wynne, AR

Active since January 20, 2020CLIA 04D0696277 · Certificate of Compliance
710 FALLS BLVD S, WYNNE, AR 72396(870) 238-2321(870) 238-0114 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wynne Physicians Clinic Llc NPPES

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

WYNNE PHYSICIANS CLINIC LLC (NPI 1710517677) is a healthcare organization registered as a family medicine in Wynne, Arkansas and active in the NPI registry since January 2020. The organization holds a CLIA Certificate of Compliance certificate valid through May 10, 2028 and lists John Lieblong, President, as its authorized official.

NPPES Registry Identity

NPI1710517677
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWYNNE PHYSICIANS CLINIC LLC
Location Address710 FALLS BLVD SWynne, AR 72396-3514
Mailing AddressPo Box 1331Jonesboro, AR 72403-1331 · (870) 932-7024 · Fax (870) 930-9377
Phone(870) 238-2321
Fax(870) 238-0114
Organization SubpartNo
Authorized OfficialJohn LieblongPresident · (870) 932-7024
Enumeration DateJanuary 20, 2020
✔ NPI 1710517677 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.
710 FALLS BLVD S, Wynne, AR 72396
Open in Google Maps ↗

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 SINGLE 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 Compliance 04D0696277

Wynne Physicians Clinic, LLC · Wynne, AR
Active · expires May 10, 2028
CLIA Number04D0696277
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorElizabeth Bradshaw
Laboratory Phone(870) 238-2321
Laboratory LocationWynne Physicians Clinic, LLC710 South Falls, Wynne, AR 72396
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

DR. JAMES DONALD CATHEY M.D.
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
DR. ELIZABETH PLEASANTS BRADSHAW M.D.
Pediatrics
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
MRS. HANNAH ROSE SUTTON PA-C
Physician Assistant
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
DR. MARK STANDRIDGE BRADSHAW M.D.
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
WYNNE MEDICAL CLINIC
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
DR. TIMOTHY BATY DO
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
WYNNE MEDICAL CLINIC
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321
WYNNE MEDICAL CLINIC PA
Family Medicine
710 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-2321

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 Wynne Physicians Clinic LLC's NPI number?

The NPI number for Wynne Physicians Clinic LLC is 1710517677. It was assigned to this organization in the NPPES registry on January 20, 2020.

Where is Wynne Physicians Clinic LLC located?

Wynne Physicians Clinic LLC is located at 710 Falls Blvd S, Wynne, AR 72396. The listed phone number is (870) 238-2321.

What is Wynne Physicians Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wynne Physicians Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0696277) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wynne Physicians Clinic LLC was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.